Medalliance Ambulance, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

156261 Issued in PA

Legal business name

MEDALLIANCE AMBULANCE, LLC

Practice address

11880 Bustleton Ave
Suite 206
Philadelphia, PA 19116

Phone

(215) 792-6329

NPI assigned

Dec 20, 2011

Last updated

Jan 4, 2013By 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. Mikael M Temirov, EMT

Title

Owner

Phone

(215) 753-5984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1750650750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "address_2": "SUITE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162538",
            "telephone_number": "215-792-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 BUSTLETON AVE",
            "address_2": "SUITE 206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-792-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLIANCE AMBULANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "TEMIROV",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-753-5984",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": "156261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Express Ambulance Inc
• Med Express Ambulance Inc.
• Med Transit LLC
• Medability
• Medability Pain Management Centers LLC
• Medallion Health Care LLC
• Medallion Health Care LLC
• Medcare LTC (MedCare Pharmacy)
• Medcath Partners, LLC (Cardiac Imaging of NE Philadelphia)
• Medcross Ambulance, Inc. (Medcross Ambulance)

• Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.