Provider Demographics
NPI:1265776496
Name:ALPHA OMEGA MEDICAL TRANSPORTATION, INC.
Entity type:Organization
Organization Name:ALPHA OMEGA MEDICAL TRANSPORTATION, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:OZIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-480-7777
Mailing Address - Street 1:3605 WOODHEAD DR
Mailing Address - Street 2:SUITE 111
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1850
Mailing Address - Country:US
Mailing Address - Phone:847-480-7777
Mailing Address - Fax:847-480-7778
Practice Address - Street 1:3605 WOODHEAD DR
Practice Address - Street 2:SUITE 111
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1850
Practice Address - Country:US
Practice Address - Phone:847-480-7777
Practice Address - Fax:847-480-7778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)