Provider Demographics
NPI:1689497745
Name:PROMED LOGISTICS, LLC
Entity type:Organization
Organization Name:PROMED LOGISTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SKIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-205-0026
Mailing Address - Street 1:7 DANUBE DR
Mailing Address - Street 2:
Mailing Address - City:MAUMELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72113-6475
Mailing Address - Country:US
Mailing Address - Phone:501-205-0026
Mailing Address - Fax:
Practice Address - Street 1:7 DANUBE DR
Practice Address - Street 2:
Practice Address - City:MAUMELLE
Practice Address - State:AR
Practice Address - Zip Code:72113-6475
Practice Address - Country:US
Practice Address - Phone:501-205-0026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle