Provider Demographics
NPI:1811277452
Name:CARE TECHS MEDICAL, LLC
Entity type:Organization
Organization Name:CARE TECHS MEDICAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:770-365-4676
Mailing Address - Street 1:2380 ROCKAWAY INDUSTRIAL BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30012
Mailing Address - Country:US
Mailing Address - Phone:678-827-2367
Mailing Address - Fax:404-759-2517
Practice Address - Street 1:2380 ROCKAWAY INDUSTRIAL BOULEVARD
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012
Practice Address - Country:US
Practice Address - Phone:678-827-2367
Practice Address - Fax:404-759-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-26
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003130509AMedicaid
GA202G591886Medicare PIN
GA1811277452Medicare UPIN