Provider Demographics
NPI:1376316497
Name:BLM LOGISTICS
Entity Type:Organization
Organization Name:BLM LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIDIYA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LEMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-293-0932
Mailing Address - Street 1:20317 CLARE ISLAND BND
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-6239
Mailing Address - Country:US
Mailing Address - Phone:512-293-0932
Mailing Address - Fax:
Practice Address - Street 1:20317 CLARE ISLAND BND
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-6239
Practice Address - Country:US
Practice Address - Phone:512-293-0932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)