Provider Demographics
NPI:1437798576
Name:MED TRANS LOGISTICS LLC
Entity Type:Organization
Organization Name:MED TRANS LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MANASE
Authorized Official - Last Name:MUVUNYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-693-3859
Mailing Address - Street 1:6822 COLLEGE PARK CT SW APT 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-7517
Mailing Address - Country:US
Mailing Address - Phone:319-693-3859
Mailing Address - Fax:
Practice Address - Street 1:6822 COLLEGE PARK CT SW APT 2
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-7517
Practice Address - Country:US
Practice Address - Phone:319-693-3859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)