Provider Demographics
| NPI: | 1801013099 |
|---|---|
| Name: | MOBILE EXPRESS TRANSPORTATION (M.E.T),LLC |
| Entity type: | Organization |
| Organization Name: | MOBILE EXPRESS TRANSPORTATION (M.E.T),LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ACCOUNTS OFFICER |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | NATASHA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | NEVES |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 510-393-1221 |
| Mailing Address - Street 1: | 22243 PEARCE ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HAYWARD |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 94541-3915 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 510-393-1221 |
| Mailing Address - Fax: | 510-537-1018 |
| Practice Address - Street 1: | 22243 PEARCE ST |
| Practice Address - Street 2: | |
| Practice Address - City: | HAYWARD |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 94541-3915 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 510-393-1221 |
| Practice Address - Fax: | 510-537-1018 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-04-19 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 341600000X | Transportation Services | Ambulance |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| CA | 3975136 | Medicaid |