Provider Demographics
NPI:1073088282
Name:D&Z TRANSPORTATION LLC
Entity Type:Organization
Organization Name:D&Z TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:DOMINGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-470-8905
Mailing Address - Street 1:2512 BLACKHAWK DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68123-3703
Mailing Address - Country:US
Mailing Address - Phone:319-470-8905
Mailing Address - Fax:515-414-8101
Practice Address - Street 1:2512 BLACKHAWK DR
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68123-3703
Practice Address - Country:US
Practice Address - Phone:319-470-8905
Practice Address - Fax:515-414-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)