Provider Demographics
NPI:1356024327
Name:MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARWA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-505-2003
Mailing Address - Street 1:8953 S AUBREE CIR
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85193-9505
Mailing Address - Country:US
Mailing Address - Phone:602-505-2003
Mailing Address - Fax:
Practice Address - Street 1:8953 S AUBREE CIR
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85193-9505
Practice Address - Country:US
Practice Address - Phone:602-505-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No344600000XTransportation ServicesTaxi