Provider Demographics
NPI:1538627583
Name:ROYAL MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:ROYAL MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:NK
Authorized Official - Last Name:NDETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-203-4126
Mailing Address - Street 1:424 WINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2121
Mailing Address - Country:US
Mailing Address - Phone:610-203-4126
Mailing Address - Fax:
Practice Address - Street 1:424 WINFIELD AVE
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2121
Practice Address - Country:US
Practice Address - Phone:610-203-4126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)