My Medlife Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MY MEDLIFE TRANSPORTATION LLC

Practice address

519 W Lone Cactus Rd Ste 305
Phoenix, AZ 85027-2923

Phone

(602) 680-0560

Fax

(623) 492-0606

NPI assigned

Feb 5, 2009

Last updated

Feb 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eduard Ghukasyan

Title

Executor, Administrator

Phone

(602) 680-0560

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1043459639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W LONE CACTUS RD STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272923",
            "telephone_number": "602-680-0560",
            "fax_number": "623-492-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W LONE CACTUS RD STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272923",
            "telephone_number": "602-680-0560",
            "fax_number": "623-492-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MEDLIFE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "GHUKASYAN",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "EXECUTOR, ADMINISTRATOR",
        "authorized_official_telephone_number": "602-680-0560"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.