Provider Demographics
NPI:1912394875
Name:ROYAL MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ROYAL MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRISAK
Authorized Official - Middle Name:SALAT
Authorized Official - Last Name:URUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-616-0065
Mailing Address - Street 1:480 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14608-1947
Mailing Address - Country:US
Mailing Address - Phone:585-413-0441
Mailing Address - Fax:
Practice Address - Street 1:480 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14608-1947
Practice Address - Country:US
Practice Address - Phone:585-413-0441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)