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Organization

AZ SECURE TRANS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AHMED CHISHTI (MANAGER)
(480) 307-7328
Entity
Organization

Contact information

Practice address
4500 S LAKESHORE DR, # 348, TEMPE, AZ 85282-7052
(480) 307-7328
(480) 304-9054
Mailing address
4500 S LAKESHORE DR, # 348, TEMPE, AZ 85282-7052
(480) 307-7328
(480) 304-9054

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
653363
AHCCCS
AZ
Enumeration date
03/19/2012
Last updated
03/19/2012
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