Provider Demographics
NPI:1891928446
Name:MEDICAL TRANSPORT SPECIALIST CORP.
Entity Type:Organization
Organization Name:MEDICAL TRANSPORT SPECIALIST CORP.
Other - Org Name:MTS CORP.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:OVASAPYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-507-9025
Mailing Address - Street 1:600 W BROADWAY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-1022
Mailing Address - Country:US
Mailing Address - Phone:818-507-9025
Mailing Address - Fax:818-507-9525
Practice Address - Street 1:600 W BROADWAY
Practice Address - Street 2:SUITE 320
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-1022
Practice Address - Country:US
Practice Address - Phone:818-507-9025
Practice Address - Fax:818-507-9525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker