Organization
SRT MED TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BADERELDIN MANSOUR (OWNER/MANAGER)
(614) 322-9490
Entity
Organization
Contact information
Practice address
1707 WEATHER STONE LN, COLUMBUS, OH 43235-1985
(614) 322-9490
Mailing address
1707 WEATHER STONE LN, COLUMBUS, OH 43235-1985
(614) 322-9490
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
250805
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093544
—
OH
Enumeration date
01/26/2015
Last updated
01/26/2015
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