Provider Demographics
NPI:1720254550
Name:TRANS MOBALE EXPRESS INC
Entity Type:Organization
Organization Name:TRANS MOBALE EXPRESS INC
Other - Org Name:TRANS MOBILE EXPRESS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEL
Authorized Official - Middle Name:MANSOUR
Authorized Official - Last Name:MUNTASER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-390-9990
Mailing Address - Street 1:24569 FRAMINGHAM DR
Mailing Address - Street 2:24569 FRAMINGHAM DRIVE
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4903
Mailing Address - Country:US
Mailing Address - Phone:216-390-9990
Mailing Address - Fax:440-777-4362
Practice Address - Street 1:24569 FRAMINGHAM DR
Practice Address - Street 2:24569 FRAMINGHAM DRIVE
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4903
Practice Address - Country:US
Practice Address - Phone:216-390-9990
Practice Address - Fax:440-777-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2709340Medicaid