Provider Demographics
NPI:1265304711
Name:EASY MOBILE TRANSPORT
Entity type:Organization
Organization Name:EASY MOBILE TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-235-9137
Mailing Address - Street 1:12 COURTYARD LN
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-3750
Mailing Address - Country:US
Mailing Address - Phone:919-746-3043
Mailing Address - Fax:800-513-9923
Practice Address - Street 1:12 COURTYARD LN
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-3750
Practice Address - Country:US
Practice Address - Phone:919-746-3043
Practice Address - Fax:800-513-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)