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Contact Information

X PORT MEDICAL SERVICE LLC
86 CHESTER AVE
1ST FL
BLOOMFIELD, NJ07003-5930
 Phone: 862-202-3008
 Fax: 908-259-5746
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for X PORT MEDICAL SERVICE LLC

NPI Number 1275936957
LBN Legal business name X PORT MEDICAL SERVICE LLC
Authorized official HAZIM ELSAMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2014
Last updated 10/08/2014 - About 12 years ago
Identifiers
NJ License # 100595
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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