Provider Demographics
NPI:1023542966
Name:LED INC
Entity Type:Organization
Organization Name:LED INC
Other - Org Name:LED TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-575-1927
Mailing Address - Street 1:4457 NAVARRE RD SW STE A-D
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-2386
Mailing Address - Country:US
Mailing Address - Phone:330-575-1927
Mailing Address - Fax:234-360-3178
Practice Address - Street 1:4457 NAVARRE RD SW STE A-D
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-2386
Practice Address - Country:US
Practice Address - Phone:330-575-1927
Practice Address - Fax:234-360-3178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)