Provider Demographics
NPI:1346854437
Name:L&S AUTO TRANSPORTATION LLC
Entity Type:Organization
Organization Name:L&S AUTO TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNATHAN
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:302-415-0825
Mailing Address - Street 1:23 SOUTHBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3610
Mailing Address - Country:US
Mailing Address - Phone:302-415-0825
Mailing Address - Fax:302-248-9743
Practice Address - Street 1:23 SOUTHBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3610
Practice Address - Country:US
Practice Address - Phone:302-415-0825
Practice Address - Fax:302-248-9743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE200258695Medicaid