Provider Demographics
NPI:1295369478
Name:DLT TRANSPORT LLC
Entity Type:Organization
Organization Name:DLT TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANNAGER
Authorized Official - Prefix:
Authorized Official - First Name:MESERET
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-213-1186
Mailing Address - Street 1:1159 S WACO ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5769
Mailing Address - Country:US
Mailing Address - Phone:719-213-1186
Mailing Address - Fax:
Practice Address - Street 1:1159 S WACO ST UNIT B
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5769
Practice Address - Country:US
Practice Address - Phone:719-213-1186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)