Organization
MY MEDLIFE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARD GHUKASYAN (EXECUTOR, ADMINISTRATOR)
(602) 680-0560
Entity
Organization
Contact information
Practice address
519 W LONE CACTUS RD STE 305, PHOENIX, AZ 85027-2923
(602) 680-0560
(623) 492-0606
Mailing address
519 W LONE CACTUS RD STE 305, PHOENIX, AZ 85027-2923
(602) 680-0560
(623) 492-0606
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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