Provider Demographics
NPI:1447671995
Name:THAO MEDICAL TRANSIT LLC
Entity type:Organization
Organization Name:THAO MEDICAL TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UE
Authorized Official - Middle Name:
Authorized Official - Last Name:THAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-347-2672
Mailing Address - Street 1:1825 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3024
Mailing Address - Country:US
Mailing Address - Phone:608-347-2672
Mailing Address - Fax:608-467-7334
Practice Address - Street 1:1825 BROWNING RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3024
Practice Address - Country:US
Practice Address - Phone:608-347-2672
Practice Address - Fax:608-467-7334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-31
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)