Organization
EMERALD MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILYAS OMAR IBRAHIM (CEO)
(614) 254-0772
Entity
Organization
Contact information
Practice address
5425 SOUTHWYCK BLVD STE 250, TOLEDO, OH 43614-1533
(419) 491-1133
(419) 491-1187
Mailing address
5425 SOUTHWYCK BLVD STE 250, TOLEDO, OH 43614-1533
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
06/27/2024
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