Organization Active NPI

Diamonds Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Avondale, AZ
National Provider Identifier
1235850181
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
DIAMONDS MEDICAL TRANSPORTATION LLC
Practice address
11417 W Edgemont Ave
Avondale, AZ 85392-5657
Phone
(602) 910-9659
NPI assigned
Sep 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Kentrell C Moreland
Title
Ceo
Phone
(602) 910-9659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

11417 W Edgemont Ave
Avondale, AZ 85392-5657

Mailing address

591 E Plaza Cir Unit 2133
Litchfield Park, AZ 85340-7685
Phone (602) 910-9659

National Provider Directory

National Provider Directory

Locations

591 E Plaza Cir
Unit 2133
Litchfield Park, AZ 85340

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1235850181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 E PLAZA CIR UNIT 2133",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853407685",
            "telephone_number": "602-910-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 W EDGEMONT AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925657",
            "telephone_number": "602-910-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMONDS MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MORELAND",
        "authorized_official_first_name": "KENTRELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-910-9659"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.