Provider Demographics
NPI:1568633428
Name:MEDICAL TRANSPORTATION SERVICES, LLC.
Entity type:Organization
Organization Name:MEDICAL TRANSPORTATION SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-406-0051
Mailing Address - Street 1:1425 NW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1507
Mailing Address - Country:US
Mailing Address - Phone:305-406-0051
Mailing Address - Fax:305-406-0052
Practice Address - Street 1:1425 NW 82ND AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1507
Practice Address - Country:US
Practice Address - Phone:305-406-0051
Practice Address - Fax:305-406-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)