Infinite Support Medical Services LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

AMB2017001 Issued in GA

Legal business name

INFINITE SUPPORT MEDICAL SERVICES LLC

Practice address

155 Westridge Pkwy
Suite 212
McDonough, GA 30253

Phone

(678) 782-3024

NPI assigned

Dec 11, 2016

Last updated

May 17, 2018By 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

Dale Matthias, EMT

Title

Ceo

Phone

(678) 458-5935

Specialties & licenses 1

Addresses

Other names 1

• Patients 1st Medical Services Former legal business name

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

{
    "created_epoch": "1481414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1174067144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY",
            "address_2": "SUITE 212",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533049",
            "telephone_number": "678-782-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY",
            "address_2": "SUITE 212",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253",
            "telephone_number": "678-782-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SUPPORT MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-11",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "MATTHIAS",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-458-5935",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "AMB2017001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients 1st Medical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.