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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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