Provider Demographics
NPI:1336588698
Name:CODE 3 MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:CODE 3 MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/LIFEWATCH EMS
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:GIOVANNI
Authorized Official - Last Name:AMORETTI
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:713-829-1556
Mailing Address - Street 1:15255 GULF FWY
Mailing Address - Street 2:STE 185B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5365
Mailing Address - Country:US
Mailing Address - Phone:855-454-3392
Mailing Address - Fax:281-741-7881
Practice Address - Street 1:4002 BURKE RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3451
Practice Address - Country:US
Practice Address - Phone:855-454-3392
Practice Address - Fax:281-741-7881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFEWATCH EMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No291U00000XLaboratoriesClinical Medical Laboratory