NPI 1720196843 · live from the CMS NPI Registry
Professional Medical Transport, INC
Ambulance, Land Transport in Mesa, AZ. National Provider Identifier 1720196843, active.
NPI record
| NPI | 1720196843 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 617 W Main St, Mesa, AZ 85201 |
| Practice phone | 480-446-2513 |
| Mailing address | Po Box 847102, Dallas, TX 75284 |
| Enumerated | August 28, 2006 |
| Last updated | September 16, 2025 |
| Authorized official | Timothy Dorn, Chief Administrative Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | — |
| Ambulance, Land Transport primary | 3416L0300X | CON # 71 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.