Organization
LIFETECH AMBULANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB LEACH (CEO/AUTHORIZED OFFICIAL/MANAGER)
(901) 585-8324
Entity
Organization
Contact information
Practice address
4958 ELMORE RD STE 104, MEMPHIS, TN 38128-6909
(901) 585-8234
Mailing address
2874 SHELBY ST STE 150, BARTLETT, TN 38134-4579
(901) 585-8534
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10227
TN
3416L0300X
Land Ambulance
10227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036646
—
TN
Enumeration date
01/10/2018
Last updated
02/07/2024
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