Provider Demographics
NPI:1528599925
Name:DYNAMEX LOGISTICS GROUP
Entity Type:Organization
Organization Name:DYNAMEX LOGISTICS GROUP
Other - Org Name:DYNAMEX HOME HEALTH CARE AND TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARTELL
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-587-9242
Mailing Address - Street 1:1040 W MARIETTA ST NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-5218
Mailing Address - Country:US
Mailing Address - Phone:404-587-9242
Mailing Address - Fax:888-492-6456
Practice Address - Street 1:1040 W MARIETTA ST NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-5218
Practice Address - Country:US
Practice Address - Phone:404-587-9242
Practice Address - Fax:888-492-6456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251E00000X, 343900000X
FL251E00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health