Organization Name: | MLR TRANSPORT, LLC |
NPI Number: | 1447517818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCUS RANDLE (OWNER) |
Mailing Address: | 26200 Ford Rd. Box 445 Dearborn Heights |
State: | MI US |
Postal Code: | 481270445 |
Phone Number: | 2486771657 |
Fax Number: | 2482820375 |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | L2864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |