Provider Demographics
NPI:1922122092
Name:SUNTUN MEDICAL TRANSPORTATION INC.
Entity Type:Organization
Organization Name:SUNTUN MEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEMOLA
Authorized Official - Middle Name:OLATUNJI
Authorized Official - Last Name:GBADEGESIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-287-2201
Mailing Address - Street 1:4075 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44105-5109
Mailing Address - Country:US
Mailing Address - Phone:216-641-6113
Mailing Address - Fax:216-441-3425
Practice Address - Street 1:4075 E 79TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44105-5109
Practice Address - Country:US
Practice Address - Phone:216-641-6113
Practice Address - Fax:216-441-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)