Provider Demographics
NPI:1265702914
Name:RODAN AMBULANCE, INC
Entity type:Organization
Organization Name:RODAN AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TATYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARMAZINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-672-2707
Mailing Address - Street 1:780 FALCON CIR
Mailing Address - Street 2:STE 122, ROOM B
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5130
Mailing Address - Country:US
Mailing Address - Phone:215-672-2707
Mailing Address - Fax:215-359-3012
Practice Address - Street 1:780 FALCON CIR
Practice Address - Street 2:STE 122, ROOM B
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5130
Practice Address - Country:US
Practice Address - Phone:215-672-2707
Practice Address - Fax:215-359-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA11056341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance