Organization
IMATRANSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM ALI OSMAN (DRIVER)
(480) 540-4288
Entity
Organization
Contact information
Practice address
8227S 52 LN, LAVEEN, AZ 85339
(480) 540-4288
(602) 237-7509
Mailing address
8227 S 52ND LN, LAVEEN, AZ 85339-2847
(602) 237-7509
(602) 237-7509
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L13906769
AZ
Other
Enumeration date
12/04/2007
Last updated
06/28/2008
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