Organization
MO MEDTRANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOAWIA ABDELKARIM (DIRECTOR OF OPERATIONS)
(480) 392-3535
Entity
Organization
Contact information
Practice address
1811 S ALMA SCHOOL RD, SUITE 100, MESA, AZ 85210-3001
(480) 800-3130
Mailing address
1811 S ALMA SCHOOL RD, SUITE 295, MESA, AZ 85210-3001
(480) 800-3130
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
682737
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
682737
AHCCCS
AZ
Enumeration date
03/23/2012
Last updated
11/08/2012
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