Organization
MASS MEDICAL TRANSPORT, LLC
Active
Other names
Mass Medical Transport, LLC, Mass Medical Transport, Mass Medical Transport, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ESTELLA TRENA SUTTON MAINOR (CEO)
(301) 455-9246
Entity
Organization
Contact information
Practice address
2533 LISA DR, WALDORF, MD 20601-3370
(240) 412-8114
Mailing address
2533 LISA DR, WALDORF, MD 20601-3370
(240) 412-8114
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9ES9987
VEHICLE TAGS
MD
Enumeration date
01/27/2022
Last updated
04/02/2025
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