Organization
IMPERIAL NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BANGURA (CEO)
(571) 659-3139
Entity
Organization
Contact information
Practice address
20311 BEECHWOOD TER UNIT 201, ASHBURN, VA 20147-2710
(571) 659-3139
Mailing address
20311 BEECHWOOD TER UNIT 201, ASHBURN, VA 20147-2710
(571) 659-3139
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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