| Organization Name: | ELITE MEDICAL TRANSPORTATION INC. |
| NPI Number: | 1003053745 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREI BORISSOV (MANAGER) |
| Mailing Address: | 1985 Byberry Rd Unit A-1 Huntingdon Valley |
| State: | PA US |
| Postal Code: | 190063513 |
| Phone Number: | 2159560303 |
| Fax Number: | 2159560302 |
| NPI Enumeration Date: | 01/16/2009 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 08024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |