Organization
IMA TRANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WINSOME BOGLE (MEMBER)
(602) 441-3998
Entity
Organization
Contact information
Practice address
2437 E GLASS LN, PHOENIX, AZ 85042-5951
(602) 441-3998
(602) 926-2730
Mailing address
PO BOX 1068, LAVEEN, AZ 85339-1068
(602) 441-3998
(602) 926-2730
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1390676-9
AZ
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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