Organization Active NPI

Imatransllc

  • Non-emergency Medical Transport (VAN)
  • Laveen, AZ
National Provider Identifier
1710169511
Registry record updated Jun 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
L13906769 Issued in AZ
Legal business name
IMATRANSLLC
Practice address
8227S 52 LN
Laveen, AZ 85339
Phone
(480) 540-4288
Fax
(602) 237-7509
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2008

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

Authorized official

Name
Mr. Ibrahim Ali Osman
Title
Driver
Phone
(480) 540-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X L13906769 AZ Primary

Addresses

Primary practice location

8227S 52 LN
Laveen, AZ 85339

Mailing address

8227 S 52ND LN
Laveen, AZ 85339-2847
Phone (602) 237-7509

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214611200000",
    "number": "1710169511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 S 52ND LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392847",
            "telephone_number": "602-237-7509",
            "fax_number": "602-237-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227S 52 LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "85339",
            "telephone_number": "480-540-4288",
            "fax_number": "602-237-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMATRANSLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-06-28",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "DRIVER",
        "authorized_official_telephone_number": "480-540-4288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "L13906769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2008; 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.