MEDICARE: PROMPT RIDES INC

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)

General Provider Information

NPI Number	:	1710500087
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROMPT RIDES INC

Provider Business Mailing Address
First Line	:	27215 SOUTHFIELD RD STE C
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-3406
Country	:	US
Telephone Number	:	313-636-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	27215 SOUTHFIELD RD STE C
Second Line	:
City	:	LATHRUP VILLAGE
State	:	MI
Zip	:	48076-3406
Country	:	US
Telephone Number	:	313-636-3333
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RAMIL YUSUBOV
Credential	:
Telephone Number	:	313-636-3333

Provider Enumeration Date	:	05/21/2020
Last Update Date	:	01/06/2022

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Directions to “PROMPT RIDES INC ” Practice Location

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