Provider Demographics
NPI:1497390611
Name:TLC TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:TLC TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SERITA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-355-4639
Mailing Address - Street 1:4066 STILMORE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2615
Mailing Address - Country:US
Mailing Address - Phone:216-355-4639
Mailing Address - Fax:
Practice Address - Street 1:4066 STILMORE RD
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-2615
Practice Address - Country:US
Practice Address - Phone:216-355-4639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)