Healthcare Provider Details

I. General information

NPI: 1144556283
Provider Name (Legal Business Name): N.E.M. TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2009
Last Update Date: 10/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25161 DEQUINDRE RD
MADISON HEIGHTS MI
48071-4240
US

IV. Provider business mailing address

330 E MAPLE RD # 422
BIRMINGHAM MI
48009-6313
US

V. Phone/Fax

Practice location:
  • Phone: 248-582-0200
  • Fax:
Mailing address:
  • Phone: 248-582-0200
  • Fax: 888-202-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. SARAH VIDICAN
Title or Position: CEO
Credential:
Phone: 586-944-9730