Provider Demographics
NPI:1104674308
Name:MEDI-GO MEDICAL TRANSPORTATION SERVICES, LLC
Entity type:Organization
Organization Name:MEDI-GO MEDICAL TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:REHAB
Authorized Official - Middle Name:ELDAW
Authorized Official - Last Name:TAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-947-2533
Mailing Address - Street 1:418 BROADWAY STE R
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2922
Mailing Address - Country:US
Mailing Address - Phone:732-947-2533
Mailing Address - Fax:
Practice Address - Street 1:5883 STRAWMOUNT TRL
Practice Address - Street 2:
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-4001
Practice Address - Country:US
Practice Address - Phone:732-947-2533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-11
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker