Provider Demographics
NPI:1508543547
Name:LST MED TRANSPORT
Entity Type:Organization
Organization Name:LST MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:FARHANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-219-1703
Mailing Address - Street 1:27 FISHER ST
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-4911
Mailing Address - Country:US
Mailing Address - Phone:401-219-1703
Mailing Address - Fax:
Practice Address - Street 1:27 FISHER ST
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-4911
Practice Address - Country:US
Practice Address - Phone:401-219-1703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)