Provider Demographics
NPI:1124432646
Name:3 VETSMEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:3 VETSMEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-852-5619
Mailing Address - Street 1:232 JUNIOR DR STE E
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-0990
Mailing Address - Country:US
Mailing Address - Phone:636-253-3578
Mailing Address - Fax:314-475-5365
Practice Address - Street 1:232 JUNIOR DR STE E
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-0990
Practice Address - Country:US
Practice Address - Phone:636-253-3578
Practice Address - Fax:314-475-5365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)