Organization
ALTA MODA MEDICAL SERVICES LC
Active
Other names
Alta Moda Medical Transportation LC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIAZIZ N HAJIABDIRAHMAN (MANAGER)
(319) 310-9128
Entity
Organization
Contact information
Practice address
708 J AVE NE, SUITE 200, CEDAR RAPIDS, IA 52402-4520
(319) 365-1382
(319) 365-1429
Mailing address
224 6TH AVE SW, CEDAR RAPIDS, IA 52404-2128
(319) 310-9128
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/23/2013
Last updated
02/17/2014
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