Provider Demographics
NPI:1215626643
Name:MEDIGO TRANSIT LLC
Entity type:Organization
Organization Name:MEDIGO TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AYAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMANFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-799-5161
Mailing Address - Street 1:744 BRICK ROW DR APT 2220
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4911
Mailing Address - Country:US
Mailing Address - Phone:972-799-5161
Mailing Address - Fax:
Practice Address - Street 1:744 BRICK ROW DR APT 2220
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4911
Practice Address - Country:US
Practice Address - Phone:972-799-5161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)