Organization
QUANTUM AXIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZARUS LESLIE MUKUR (PRESIDENT/CEO)
(251) 508-1438
Entity
Organization
Contact information
Practice address
9828 TORRINGTON DR N, SEMMES, AL 36575-8206
(251) 508-1438
Mailing address
9828 TORRINGTON DR N, SEMMES, AL 36575-8206
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2017
Last updated
03/17/2018
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