RESCUE AMBULANCE SERVICE, LLC
NPI 1922464536
Ambulance - Land Transport in Stone Mountain, GA

Active since January 12, 2016CLIA 11D2284055 · Waiver
2166 W PARK CT STE B, STONE MOUNTAIN, GA 30087(470) 819-4151(470) 679-3052 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2024, Jan 12, 2016 (2 updates tracked since 2016).

About Rescue Ambulance Service, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESCUE AMBULANCE SERVICE, LLC (NPI 1922464536) is a healthcare organization registered as a land transport in Stone Mountain, Georgia and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Jamal Abdi Ali, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1922464536
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRESCUE AMBULANCE SERVICE, LLC
Location Address2166 W PARK CT STE BStone Mountain, GA 30087-3546
Mailing Address2166 W Park Ct Ste BStone Mountain, GA 30087-3546 · (470) 819-4151 · Fax (470) 679-3052
Fax(470) 679-3052
Organization SubpartNo
Authorized OfficialJamal Abdi AliOwner/manager · (404) 732-6240
Enumeration DateJanuary 12, 2016
Last NPPES UpdateNovember 24, 20242 updates tracked since enumeration
NPPES CertifiedNovember 24, 2024
NPI 1922464536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in GA · 031-31
2166 W PARK CT STE B, Stone Mountain, GA 30087

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 11D2284055

Rescue Ambulance Service LLC · Forest Park, GA
Active · expires Jun 15, 2027
CLIA Number11D2284055
Laboratory TypeAmbulance
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorDr. Kashif Ahmed
Laboratory Phone(470) 819-4151
Laboratory LocationRescue Ambulance Service LLC526 Forest Parkway Suite D, Forest Park, GA 30297
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
2166 W PARK CT STE B
STONE MOUNTAIN, GA 30087

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 Rescue Ambulance Service, LLC's NPI number?

The NPI number for Rescue Ambulance Service, LLC is 1922464536. It was assigned to this organization in the NPPES registry on January 12, 2016.

Where is Rescue Ambulance Service, LLC located?

Rescue Ambulance Service, LLC is located at 2166 W Park Ct Ste B, Stone Mountain, GA 30087. The listed phone number is (470) 819-4151.

What is Rescue Ambulance Service, LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Rescue Ambulance Service, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2284055) is associated with this NPI, valid through June 15, 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 Rescue Ambulance Service, LLC was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.