Provider Demographics
NPI:1184329187
Name:MEDICAL TRANSIT PRO
Entity type:Organization
Organization Name:MEDICAL TRANSIT PRO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WARMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-737-8513
Mailing Address - Street 1:492 N FALCON DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-7638
Mailing Address - Country:US
Mailing Address - Phone:480-737-8513
Mailing Address - Fax:
Practice Address - Street 1:492 N FALCON DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-7638
Practice Address - Country:US
Practice Address - Phone:480-737-8513
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)