PROFESSIONAL MEDICAL TRANSPORT, INC
NPI 1720196843
Ambulance - Land Transport in Mesa, AZ
About Professional Medical Transport, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROFESSIONAL MEDICAL TRANSPORT, INC (NPI 1720196843) is a healthcare organization registered as a land transport in Mesa, Arizona and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Timothy Joseph Dorn, Chief Administrative Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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 03D2149632
Professional Medical Transport, Inc · Mesa, AZOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently 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 Professional Medical Transport, Inc's NPI number?
The NPI number for Professional Medical Transport, Inc is 1720196843. It was assigned to this organization in the NPPES registry on August 28, 2006.
Where is Professional Medical Transport, Inc located?
Professional Medical Transport, Inc is located at 617 W Main St, Mesa, AZ 85201. The listed phone number is (480) 446-2513.
What is Professional Medical Transport, Inc's specialty?
The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.
Does Professional Medical Transport, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2149632) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Professional Medical Transport, Inc was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Professional Medical Transport, Inc · NPI 1720196843
Land Transport organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since August 28, 2006.
## Identity
- **NPI:** 1720196843 (Entity type: Organization)
- **Enumerated:** August 28, 2006
- **Primary specialty:** Ambulance - Land Transport · taxonomy 3416L0300X
- **Organization subpart:** No
- **Authorized official:** Timothy Dorn, CHIEF ADMINISTRATIVE OFFICER
## Practice location
- **Address:** 617 W MAIN ST, Mesa, AZ 85201-7204
- **Phone:** (480) 446-2513
## Record status
- **NPPES last updated:** September 16, 2025
- **Other identifiers:** Medicaid 200780 (AZ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1720196843) · Data from the CMS NPPES public registry.