VITAL CARE MEDICAL TRANSPORT LLC
NPI 1104400266
Ambulance in Tucker, GA
About Vital Care Medical Transport Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VITAL CARE MEDICAL TRANSPORT LLC (NPI 1104400266) is a healthcare organization registered as an ambulance in Tucker, Georgia and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Mackenzie Houge, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2278857
Vital Care Medical Transport, LLC · Tucker, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vital Care Medical Transport LLC's NPI number?
The NPI number for Vital Care Medical Transport LLC is 1104400266. It was assigned to this organization in the NPPES registry on May 5, 2021.
Where is Vital Care Medical Transport LLC located?
Vital Care Medical Transport LLC is located at 2227 Idlewood Rd Ste 202, Tucker, GA 30084. The listed phone number is (770) 365-7370.
What is Vital Care Medical Transport LLC's specialty?
The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.
Does Vital Care Medical Transport LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2278857) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Vital Care Medical Transport LLC was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vital Care Medical Transport Llc · NPI 1104400266
Ambulance organization in Tucker, Georgia. Organization record, active in the CMS NPPES registry since May 5, 2021.
## Identity
- **NPI:** 1104400266 (Entity type: Organization)
- **Enumerated:** May 5, 2021
- **Primary specialty:** Ambulance · taxonomy 341600000X
- **Organization subpart:** No
- **Authorized official:** Mackenzie Houge, OWNER
## Practice location
- **Address:** 2227 IDLEWOOD RD STE 202, Tucker, GA 30084-4827
- **Phone:** (770) 365-7370
## Record status
- **NPPES last updated:** May 5, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104400266) · Data from the CMS NPPES public registry.