Organization Active NPI

Sudazona Medtrans LLC

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1265129324
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUDAZONA MEDTRANS LLC
Practice address
2601 W Claremont St Apt 2065
Phoenix, AZ 85017-6252
Phone
(602) 517-9056
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Mubarak Mohammed Ishag Adam
Title
Owner
Phone
(602) 517-9056

Specialties & licenses 1

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

Addresses

Primary practice location

2601 W Claremont St Apt 2065
Phoenix, AZ 85017-6252

Mailing address

2601 W Claremont St Apt 2065
Phoenix, AZ 85017-6252
Phone (602) 517-9056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1265129324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W CLAREMONT ST APT 2065",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850176252",
            "telephone_number": "602-517-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W CLAREMONT ST APT 2065",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850176252",
            "telephone_number": "602-517-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDAZONA MEDTRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "ADAM",
        "authorized_official_first_name": "MUBARAK",
        "authorized_official_middle_name": "MOHAMMED ISHAG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-517-9056"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.