Eagle Medical Trans, LLC

Primary specialty

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

Legal business name

EAGLE MEDICAL TRANS, LLC

Practice address

3321 Candelaria Rd NE Ste 317
Albuquerque, NM 87107-1969

Phone

(602) 394-2609

NPI assigned

Feb 12, 2024

Organization subpart

No

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

Authorized official

Name

Maryan Ahmed

Title

Ceo

Phone

(602) 394-2609

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1215791116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 317",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071969",
            "telephone_number": "602-394-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 317",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071969",
            "telephone_number": "602-394-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL TRANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MARYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-394-2609"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Non-emergency Medical Transport (VAN) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.