Organization
MEDI MOBILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN C MAJOR (OWNER)
(520) 505-6190
Entity
Organization
Contact information
Practice address
4001 N RUNWAY DR, TUCSON, AZ 85705-2992
(520) 505-6190
Mailing address
1306 S BURDOCK DR, TUCSON, AZ 85713-4640
(520) 505-6190
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3019449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
659359
—
AZ
Enumeration date
04/27/2012
Last updated
04/27/2012
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