Provider Demographics
NPI:1518430644
Name:MOBILE TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:MOBILE TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:LYNNELL
Authorized Official - Last Name:BARRETT-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:JOYCE BARRETT-MOORE
Authorized Official - Phone:252-531-3150
Mailing Address - Street 1:448 BURRINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6471
Mailing Address - Country:US
Mailing Address - Phone:252-531-3150
Mailing Address - Fax:252-227-4574
Practice Address - Street 1:448 BURRINGTON RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-6471
Practice Address - Country:US
Practice Address - Phone:252-531-3150
Practice Address - Fax:252-227-4574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)