Provider Demographics
NPI:1811318132
Name:TAMCO LLC
Entity type:Organization
Organization Name:TAMCO LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRIESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:SALIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-300-9735
Mailing Address - Street 1:8304 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-7904
Mailing Address - Country:US
Mailing Address - Phone:602-300-9735
Mailing Address - Fax:480-248-3189
Practice Address - Street 1:8304 S 15TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85042-7904
Practice Address - Country:US
Practice Address - Phone:602-300-9735
Practice Address - Fax:480-248-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-05
Last Update Date:2014-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL16677136343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)