Organization
MED GROUP TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARIKO MEKVABISHVILI (PRESIDENT)
(414) 755-0500
Entity
Organization
Contact information
Practice address
11412 N PORT WASHINGTON RD STE 215, MEQUON, WI 53092-3450
(414) 755-0500
(414) 755-1763
Mailing address
11412 N PORT WASHINGTON RD STE 215, MEQUON, WI 53092-3450
(414) 755-0500
(414) 755-1763
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376ZYF
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002648
—
WI
Enumeration date
04/03/2009
Last updated
04/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us