Provider Demographics
NPI:1144556283
Name:N.E.M. TRANSPORT LLC
Entity type:Organization
Organization Name:N.E.M. TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:VIDICAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-944-9730
Mailing Address - Street 1:330 E MAPLE RD # 422
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-6313
Mailing Address - Country:US
Mailing Address - Phone:248-582-0200
Mailing Address - Fax:888-202-1901
Practice Address - Street 1:25161 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-4240
Practice Address - Country:US
Practice Address - Phone:248-582-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-24
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle