Squad a, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SQUAD A, LLC

Practice address

10075 Sandmeyer LN
Suite D
Philadelphia, PA 19116-3501

Phone

(215) 677-3775

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

David Mamikonyan

Title

PRS.

Phone

(215) 677-3775

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1811265168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 SANDMEYER LN",
            "address_2": "SUITE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 SANDMEYER LN",
            "address_2": "SUITE D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163501",
            "telephone_number": "215-677-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUAD A, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "MAMIKONYAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRS.",
        "authorized_official_telephone_number": "215-677-3775"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spuc
• Spuc, LLC
• Peter D Spurrell
• Nicholas George Spyropoulos, DO
• Sqa Pharmacy Services LLC
• Francis James Squadrito, M.D.
• Nina Marie Squaires
• Jacquelyn Patrice Squares, CRNP
• Squeezren, LLC
• Danielle Christine Squilla, MSN, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.