MEDICARE: PRIME MEDICAL MOBILITY LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1821929142
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME MEDICAL MOBILITY LLC

Provider Business Mailing Address
First Line	:	645 N NINTH ST
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18102-2207
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 N NINTH ST
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18102-2207
Country	:	US
Telephone Number	:	610-415-8543
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SEBASTIAN CABRAL
Credential	:
Telephone Number	:	610-415-8543

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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