Provider Demographics
NPI:1750632097
Name:TOP OF THE LINE MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:TOP OF THE LINE MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-758-3121
Mailing Address - Street 1:520 PUSEY AVE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:COLLINGDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3300
Mailing Address - Country:US
Mailing Address - Phone:215-758-3121
Mailing Address - Fax:484-540-8372
Practice Address - Street 1:520 PUSEY AVE
Practice Address - Street 2:SUITE 240
Practice Address - City:COLLINGDALE
Practice Address - State:PA
Practice Address - Zip Code:19023-3300
Practice Address - Country:US
Practice Address - Phone:215-758-3121
Practice Address - Fax:484-540-8372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA12041341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance