Provider Demographics
NPI:1316489750
Name:OMER TRANSPORTATION, LLC
Entity type:Organization
Organization Name:OMER TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGDA
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:OMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-803-1286
Mailing Address - Street 1:5531 PARKHILL CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6115
Mailing Address - Country:US
Mailing Address - Phone:225-752-1164
Mailing Address - Fax:225-208-1647
Practice Address - Street 1:5531 PARKHILL CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-6115
Practice Address - Country:US
Practice Address - Phone:225-752-1164
Practice Address - Fax:225-208-1647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)