1548574189 NPI number — SAS GLOBAL LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548574189 NPI number — SAS GLOBAL LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAS GLOBAL LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BE MOBILE MEDICAL TRANSPORTATION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548574189
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
66 SAN PEDRO RD
Provider Second Line Business Mailing Address:
SUITE C2
Provider Business Mailing Address City Name:
DALY CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94014-2502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-392-2470
Provider Business Mailing Address Fax Number:
650-392-2471

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66 SAN PEDRO ROAD
Provider Second Line Business Practice Location Address:
SUITE C2
Provider Business Practice Location Address City Name:
DALY CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-201-2776
Provider Business Practice Location Address Fax Number:
650-872-0441
Provider Enumeration Date:
08/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
AVETISYAN
Authorized Official First Name:
SAMUEL
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
650-201-2776

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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