Provider Demographics
NPI:1861641763
Name:LEUG, INC.
Entity Type:Organization
Organization Name:LEUG, INC.
Other - Org Name:ON WATCH AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VADIM
Authorized Official - Middle Name:
Authorized Official - Last Name:KOCHOBAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-396-2021
Mailing Address - Street 1:111 BUCK RD
Mailing Address - Street 2:SUITE 200 UNIT11
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 BUCK RD
Practice Address - Street 2:SUITE 200 UNIT11
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1544
Practice Address - Country:US
Practice Address - Phone:215-396-2021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport