Provider Demographics
NPI:1548697709
Name:MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASEM
Authorized Official - Middle Name:
Authorized Official - Last Name:FAIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-576-3333
Mailing Address - Street 1:7439 NECKEL ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1410
Mailing Address - Country:US
Mailing Address - Phone:734-576-3333
Mailing Address - Fax:313-355-9821
Practice Address - Street 1:7439 NECKEL ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1410
Practice Address - Country:US
Practice Address - Phone:734-576-3333
Practice Address - Fax:313-355-9821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker