Provider Demographics
NPI:1477359883
Name:XYZ NEDICAL TRANSPORTATION INC.
Entity type:Organization
Organization Name:XYZ NEDICAL TRANSPORTATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMLIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:812-380-1426
Mailing Address - Street 1:164 ANTHONY ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14619-1704
Mailing Address - Country:US
Mailing Address - Phone:812-380-1426
Mailing Address - Fax:
Practice Address - Street 1:164 ANTHONY ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14619-1704
Practice Address - Country:US
Practice Address - Phone:812-380-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)