SRQ Medical Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SRQ MEDICAL TRANSPORT LLC

Doing business as

Srq Medical Transport

Practice address

4034 N Washington Blvd
Sarasota, FL 34234-4847

Phone

(941) 879-9455

NPI assigned

Sep 27, 2020

Last updated

Sep 27, 2020By 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

Ms. Angela Ivery

Title

Owner

Phone

(941) 879-7354

Specialties & licenses 1

Addresses

Other names 1

• Srq Medical Transport Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: admin@srqtransport.org

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

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601164800000",
    "number": "1942817671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 N WASHINGTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342344847",
            "telephone_number": "941-879-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 N WASHINGTON BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342344847",
            "telephone_number": "941-879-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRQ MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A",
        "authorized_official_last_name": "IVERY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-879-7354",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@SrqTransport.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Information",
            "address_1": "4034 N Washington Blvd",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342344847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Srq Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; 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.