Urgent Care Medical Transport, Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

044-35 Issued in GA

Legal business name

URGENT CARE MEDICAL TRANSPORT, CORP

Practice address

2442 Stone Mountain Lithonia Rd
Ste E
Lithonia, GA 30058-5247

Phone

(904) 415-9427

NPI assigned

Mar 25, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Nicole Wilson

Title

Owner

Phone

(904) 415-9427

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1164816336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 STONE MOUNTAIN LITHONIA RD STE E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585247",
            "telephone_number": "904-415-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 STONE MOUNTAIN LITHONIA RD",
            "address_2": "STE E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585247",
            "telephone_number": "904-415-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MEDICAL TRANSPORT, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-415-9427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "044-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Land Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.