Provider Demographics
NPI:1467273599
Name:MOTION MEDICAL TRANSPORT
Entity type:Organization
Organization Name:MOTION MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHRAMZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-627-5010
Mailing Address - Street 1:4713 E VAN BUREN ST UNIT 208
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-6994
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4713 E VAN BUREN ST UNIT 208
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-6994
Practice Address - Country:US
Practice Address - Phone:619-717-0541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)