Provider Demographics
NPI:1114355666
Name:DIAMOND TRANSPORTATION SERVICE, LLC
Entity Type:Organization
Organization Name:DIAMOND TRANSPORTATION SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-531-9916
Mailing Address - Street 1:4387 CHERRY HILL DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48323-1609
Mailing Address - Country:US
Mailing Address - Phone:734-531-9916
Mailing Address - Fax:248-948-9031
Practice Address - Street 1:4387 CHERRY HILL DR
Practice Address - Street 2:
Practice Address - City:ORCHARD LAKE
Practice Address - State:MI
Practice Address - Zip Code:48323-1609
Practice Address - Country:US
Practice Address - Phone:734-531-9916
Practice Address - Fax:248-948-9031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-19
Last Update Date:2013-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)