Provider Demographics
NPI:1497218747
Name:ALLIANCE TRANSPORT, LLC
Entity Type:Organization
Organization Name:ALLIANCE TRANSPORT, LLC
Other - Org Name:ALLIANCE TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHAWNA
Authorized Official - Middle Name:EASTON
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-304-8308
Mailing Address - Street 1:3904 LAREDO CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70607-0952
Mailing Address - Country:US
Mailing Address - Phone:337-304-8308
Mailing Address - Fax:
Practice Address - Street 1:1731 MOELING ST
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70601-1757
Practice Address - Country:US
Practice Address - Phone:337-508-2169
Practice Address - Fax:337-564-6308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)