Provider Demographics
NPI:1306574231
Name:AVT TRANSIT CORP
Entity type:Organization
Organization Name:AVT TRANSIT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILADIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MAZARIEGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-502-8319
Mailing Address - Street 1:43740 TIBER ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-9192
Mailing Address - Country:US
Mailing Address - Phone:951-502-8319
Mailing Address - Fax:
Practice Address - Street 1:43740 TIBER ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-9192
Practice Address - Country:US
Practice Address - Phone:951-502-8319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi