MEDICARE: MZ TRANSPORTATION 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)	2045878	OH

General Provider Information

NPI Number	:	1467890640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MZ TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	225 FAIRWAY BLVD
Second Line	:	SUITE 205
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2071
Country	:	US
Telephone Number	:	614-254-1928
Fax Number	:	614-866-7636

Provider Business Practice Location Address
First Line	:	225 FAIRWAY BLVD
Second Line	:	SUITE 205
City	:	COLUMBUS
State	:	OH
Zip	:	43213-2071
Country	:	US
Telephone Number	:	614-254-1928
Fax Number	:	614-866-7636

Authorized Official
Title or Position	:	OWNER
Name	:	MERIAM ZEKARIA
Credential	:
Telephone Number	:	614-254-1928

Provider Enumeration Date	:	06/10/2013
Last Update Date	:	06/10/2013

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