Organization
MEDICAL TRANSPORTATION SERVICES, LLC
Active
Organization
MEDICAL TRANSPORTATION SERVICES, LLC
Active
Other names
PHYSICIANS TRANSPORT SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDOLPH THOMAS BRETON MEDIC (DIRECTOR, CHIEF OF OPERATIONS)
(571) 323-0800
Entity
Organization
Contact information
Practice address
360 HERNDON PKWY, STE 1200, HERNDON, VA 20170-4824
(571) 323-0800
(571) 323-0801
Mailing address
360 HERNDON PKWY, STE 1200, HERNDON, VA 20170-4824
(571) 323-0800
(571) 323-0801
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0540402
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009012397
—
VA
Enumeration date
06/14/2005
Last updated
06/19/2008
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