Provider Demographics
NPI:1023856465
Name:MEDICMOVE LLC
Entity type:Organization
Organization Name:MEDICMOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:QADEER AHMED NAZEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-917-7552
Mailing Address - Street 1:110 NE 46TH LN UNIT 12
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-8112
Mailing Address - Country:US
Mailing Address - Phone:470-917-7552
Mailing Address - Fax:
Practice Address - Street 1:110 NE 46TH LN UNIT 12
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-8112
Practice Address - Country:US
Practice Address - Phone:470-917-7552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)