Healthcare Provider Details

I. General information

NPI: 1588594162
Provider Name (Legal Business Name): ADVANCE MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

632 S SADDLE ST
GILBERT AZ
85233-7229
US

IV. Provider business mailing address

632 S SADDLE ST
GILBERT AZ
85233-7229
US

V. Phone/Fax

Practice location:
  • Phone: 602-886-4479
  • Fax: 602-601-5800
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NADA BISAILY
Title or Position: OWNER
Credential:
Phone: 602-886-4479