Organization
ASAP TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY J GRUBA (GENERAL MANAGER)
(815) 654-2727
Entity
Organization
Contact information
Practice address
7117 CLINTON RD, SUITE 4, LOVES PARK, IL 61111
(815) 654-2727
(815) 282-0692
Mailing address
7117 CLINTON RD, SUITE 4, LOVES PARK, IL 61111
(815) 654-2727
(815) 282-0692
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012383
—
WI
Enumeration date
10/25/2009
Last updated
11/18/2010
Update your record
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