Organization
STAT MEDICAL TRANSPORT LLC
Active
Organization
STAT MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON BERARDOCCO (OWNER)
(610) 449-7828
Entity
Organization
Contact information
Practice address
740 BURMONT RD, DREXEL HILL, PA 19026-4349
(717) 572-1321
Mailing address
PO BOX 337, PILGRIM GARDENS, PA 19026-0337
(717) 572-1321
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
05095
PA
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013703770001
—
PA
Enumeration date
11/21/2005
Last updated
09/06/2024
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