Provider Demographics
NPI:1538515036
Name:SECURE PATIENT DELIVERY LLC
Entity Type:Organization
Organization Name:SECURE PATIENT DELIVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROTEM
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-258-2335
Mailing Address - Street 1:4650 W ESPLANADE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2765
Mailing Address - Country:US
Mailing Address - Phone:504-308-1343
Mailing Address - Fax:
Practice Address - Street 1:4650 W ESPLANADE AVE STE 200
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2765
Practice Address - Country:US
Practice Address - Phone:504-308-1343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)