Provider Demographics
NPI:1194096149
Name:PDMD TRANSPORTATION INC
Entity type:Organization
Organization Name:PDMD TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-505-5525
Mailing Address - Street 1:224 W SANTA ANITA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2305
Mailing Address - Country:US
Mailing Address - Phone:818-505-5525
Mailing Address - Fax:818-842-5822
Practice Address - Street 1:224 W SANTA ANITA AVE
Practice Address - Street 2:SAME
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2305
Practice Address - Country:US
Practice Address - Phone:818-505-5525
Practice Address - Fax:818-842-5822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB55563933416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport