Organization
EZ RIDE LLC
Active
Other names
EZ RIDE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST KHACHATURYAN (OWNER)
(816) 456-8568
Entity
Organization
Contact information
Practice address
623 NE 93RD CT, KANSAS CITY, MO 64155-3323
(816) 456-8568
Mailing address
623 NE 93RD CT, KANSAS CITY, MO 64155-3323
(816) 456-8568
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063835650
MEDICAL TRANSPORTATION
MO
Enumeration date
10/18/2018
Last updated
10/18/2018
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