Provider Demographics
NPI:1316217268
Name:LANDJET,INC.
Entity Type:Organization
Organization Name:LANDJET,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:W
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-853-3133
Mailing Address - Street 1:215 SALEM ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2070
Mailing Address - Country:US
Mailing Address - Phone:781-281-0780
Mailing Address - Fax:781-281-0780
Practice Address - Street 1:215 SALEM ST
Practice Address - Street 2:SUITE 14
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2097
Practice Address - Country:US
Practice Address - Phone:781-281-0780
Practice Address - Fax:781-281-0780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA213343900000X
MA214344600000X
MA215347B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus