SDP Group Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

821055 Issued in MI

Legal business name

SDP GROUP INC.

Doing business as

Medic One Ambulance Service Inc.

Practice address

28111 Northline Rd
Romulus, MI 48174-2829

Phone

(734) 946-4008

Fax

(734) 946-4872

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael Talley

Title

President

Phone

(734) 946-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medic One Ambulance Service Inc. Doing business as

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1972788172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28111 NORTHLINE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742829",
            "telephone_number": "734-946-4008",
            "fax_number": "734-946-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28111 NORTHLINE RD",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481742829",
            "telephone_number": "734-946-4008",
            "fax_number": "734-946-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDP GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-946-4008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MI",
            "license": "821055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1975810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic One Ambulance Service Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Romulus, MI
• Providers in Romulus, MI by specialty
• Ambulance in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.