Active NPI
MD Transe L.L.C.
- Non-emergency Medical Transport (VAN)
- Laveen, AZ
National Provider Identifier
1740460849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 343900000X
- Legal business name
- MD TRANSE L.L.C.
- Practice address
- 4372 W Alta Vista Rd
Laveen, AZ 85339-6216 - Phone
- (602) 295-8293
- Fax
- (602) 273-8893
- NPI assigned
- Nov 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Khalid M. Osman
- Title
- Owner/Manager
- Phone
- (602) 295-8293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 343900000X | AZ | Primary |
Addresses
Primary practice location
4372 W Alta Vista Rd
Laveen, AZ 85339-6216
Mailing address
4372 W Alta Vista Rd
Laveen, AZ 85339-6216
Phone (602) 295-8293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254630 | Other | AZ | AHCCCS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1740460849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4372 W ALTA VISTA RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853396216",
"telephone_number": "602-295-8293",
"fax_number": "188-878-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4372 W ALTA VISTA RD",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853396216",
"telephone_number": "602-295-8293",
"fax_number": "602-273-8893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD TRANSE L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-06",
"last_updated": "2009-12-01",
"status": "A",
"authorized_official_last_name": "OSMAN",
"authorized_official_first_name": "KHALID",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "602-295-8293",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "343900000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "254630",
"state": "AZ"
}
],
"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 Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.