Organization
SUPERIOR MEDICAL TRANS, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IMAD M ELHASSAN TAHA (OWNER)
(602) 423-8172
Entity
Organization
Contact information
Practice address
1203 W PARK CT, CHANDLER, AZ 85224-8693
(602) 423-8172
(480) 584-6562
Mailing address
1203 W PARK CT, CHANDLER, AZ 85224-8693
(602) 423-8172
(480) 584-6562
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126194
—
AZ
Enumeration date
05/30/2008
Last updated
05/30/2008
Update your record
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