Provider Demographics
NPI:1861767436
Name:ALL METRO AMBULANCE LLC
Entity type:Organization
Organization Name:ALL METRO AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VICKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUPRIYANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-692-6285
Mailing Address - Street 1:398 LINCOLN BLVD
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2368
Mailing Address - Country:US
Mailing Address - Phone:855-692-6285
Mailing Address - Fax:
Practice Address - Street 1:398 LINCOLN BLVD
Practice Address - Street 2:SUITE B-2
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2368
Practice Address - Country:US
Practice Address - Phone:855-692-6285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400-4464-643416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport