Healthcare Provider Details

I. General information

NPI: 1073064192
Provider Name (Legal Business Name): IMRAN MEDICAL COURIER SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 OLDE WORTHINGTON RD STE 200
WESTERVILLE OH
43082-9127
US

IV. Provider business mailing address

470 OLDE WORTHINGTON RD STE 200
WESTERVILLE OH
43082-9127
US

V. Phone/Fax

Practice location:
  • Phone: 877-502-3326
  • Fax:
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
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: AHMED MOHAMED
Title or Position: DIRECTOR OF BUSINESS DEVELOPMENT
Credential:
Phone: 877-502-3326