Provider Demographics
NPI:1518606144
Name:LA MEDICAL TRANS LLC
Entity type:Organization
Organization Name:LA MEDICAL TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBALDAWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-442-3443
Mailing Address - Street 1:5840 N CANTON CENTER RD STE 260
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2586
Mailing Address - Country:US
Mailing Address - Phone:734-353-6190
Mailing Address - Fax:
Practice Address - Street 1:5840 N CANTON CENTER RD STE 260
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2586
Practice Address - Country:US
Practice Address - Phone:734-353-6190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-01
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport