Provider Demographics
NPI:1447085857
Name:MEDGO, LLC
Entity type:Organization
Organization Name:MEDGO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAMOORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-979-8685
Mailing Address - Street 1:6816 BRANDYWINE CT
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:62208-2045
Mailing Address - Country:US
Mailing Address - Phone:618-929-2277
Mailing Address - Fax:
Practice Address - Street 1:6816 BRANDYWINE CT
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-2045
Practice Address - Country:US
Practice Address - Phone:618-929-2277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle