Provider Demographics
NPI:1811067697
Name:AMERI-STAT TRANSPORTATION, LLC.
Entity type:Organization
Organization Name:AMERI-STAT TRANSPORTATION, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:NYBAKKEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-729-0081
Mailing Address - Street 1:311 E AVE K8
Mailing Address - Street 2:SUITE 117
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93535
Mailing Address - Country:US
Mailing Address - Phone:661-729-0081
Mailing Address - Fax:661-729-6311
Practice Address - Street 1:311 E AVENUE K-8
Practice Address - Street 2:SUITE #117
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4523
Practice Address - Country:US
Practice Address - Phone:661-729-0081
Practice Address - Fax:661-729-6311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance