Provider Demographics
NPI:1982167862
Name:M&A MEDICAL TRANS LLC
Entity type:Organization
Organization Name:M&A MEDICAL TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDELALI
Authorized Official - Middle Name:C
Authorized Official - Last Name:GUENNOUNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-550-9444
Mailing Address - Street 1:3432 CHATEAU LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-2606
Mailing Address - Country:US
Mailing Address - Phone:502-550-9444
Mailing Address - Fax:
Practice Address - Street 1:3432 CHATEAU LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-2606
Practice Address - Country:US
Practice Address - Phone:502-550-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker