Provider Demographics
NPI:1205127917
Name:ON TIME MED TRANS INC
Entity type:Organization
Organization Name:ON TIME MED TRANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:TALAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-330-7833
Mailing Address - Street 1:5235 S KYRENE RD SUITE #19
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283
Mailing Address - Country:US
Mailing Address - Phone:602-330-7833
Mailing Address - Fax:480-247-7708
Practice Address - Street 1:5235 S KYRENE RD STE 19
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1780
Practice Address - Country:US
Practice Address - Phone:602-330-7833
Practice Address - Fax:480-247-7708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14318343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)