Omni Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

10179 Issued in TN

Legal business name

OMNI MEDICAL TRANSPORT LLC

Practice address

10111 Cameron Ridge TRL
Cordova, TN 38016-7184

Phone

(901) 679-5366

NPI assigned

May 9, 2014

Last updated

May 9, 2014By 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

Mr. Lester Leon RussellNPI 1598176745

Title

Director/Owner

Phone

(901) 679-5366

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lester Leon Russell

  • Massage Therapist
  • Cordova, TN
  • NPI 1598176745
  NPD Authorized official

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1659782803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 CAMERON RIDGE TRL",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167184",
            "telephone_number": "901-679-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 CAMERON RIDGE TRL",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167184",
            "telephone_number": "901-679-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "901-679-5366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "10179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sydney Olson, DDS
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• Land Ambulance in Cordova, TN
• Providers in Cordova, TN by specialty
• Land Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.