Healthcare Provider Details

I. General information

NPI: 1457289712
Provider Name (Legal Business Name): MIDWEST MEDTRANZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 E 3RD ST
BLOOMINGTON IN
47401-5504
US

IV. Provider business mailing address

3802 E 3RD ST
BLOOMINGTON IN
47401-5504
US

V. Phone/Fax

Practice location:
  • Phone: 574-395-8782
  • Fax:
Mailing address:
  • Phone: 574-395-8782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BABAR ABBAS
Title or Position: PRESIDENT
Credential:
Phone: 574-395-8782