MEDICARE: MEDICAL TRANSED, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	399	VA

General Provider Information

NPI Number	:	1336140672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL TRANSED, INC.

Provider Business Mailing Address
First Line	:	110 OAKGROVE RD
Second Line	:	#101
City	:	STERLING
State	:	VA
Zip	:	20166-9460
Country	:	US
Telephone Number	:	703-435-6060
Fax Number	:	703-435-8155

Provider Business Practice Location Address
First Line	:	110 OAKGROVE RD
Second Line	:	#101
City	:	STERLING
State	:	VA
Zip	:	20166-9460
Country	:	US
Telephone Number	:	703-435-6060
Fax Number	:	703-435-8155

Authorized Official
Title or Position	:	CEO
Name	:	MR. JEFFREY A. LARAMIE
Credential	:
Telephone Number	:	703-435-6060

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/22/2020

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Directions to “MEDICAL TRANSED, INC. ” Practice Location

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