Provider Demographics
NPI:1437631249
Name:LEXI MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:LEXI MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELEXIS
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-264-8528
Mailing Address - Street 1:PO BOX 1203
Mailing Address - Street 2:
Mailing Address - City:ONECO
Mailing Address - State:FL
Mailing Address - Zip Code:34264-1203
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1037 57TH AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-3632
Practice Address - Country:US
Practice Address - Phone:941-264-8528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)