Provider Demographics
NPI:1790334431
Name:TRANSTATES MOBILE SERVICES LLC
Entity Type:Organization
Organization Name:TRANSTATES MOBILE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BAHJAT
Authorized Official - Middle Name:H
Authorized Official - Last Name:ALNAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:ARDMS CERTIFIED
Authorized Official - Phone:408-594-8209
Mailing Address - Street 1:5840 SANTA TERESA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4131
Mailing Address - Country:US
Mailing Address - Phone:408-594-8209
Mailing Address - Fax:
Practice Address - Street 1:5840 SANTA TERESA BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-4131
Practice Address - Country:US
Practice Address - Phone:408-594-8209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier