Asap Transport, LLC

Primary specialty

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

Legal business name

ASAP TRANSPORT, LLC

Practice address

7117 Clinton Rd
Suite 4
Loves Park, IL 61111

Phone

(815) 654-2727

Fax

(815) 282-0692

NPI assigned

Oct 25, 2009

Organization subpart

No

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

Authorized official

Name

Zachary J Gruba

Title

General Manager

Phone

(815) 654-2727

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1256428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1124354261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 CLINTON RD",
            "address_2": "SUITE 4",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-654-2727",
            "fax_number": "815-282-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 CLINTON RD",
            "address_2": "SUITE 4",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-654-2727",
            "fax_number": "815-282-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-25",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "GRUBA",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "815-654-2727"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012383",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.