Provider Demographics
NPI:1548589153
Name:OLAN TRANSPORT LLC
Entity Type:Organization
Organization Name:OLAN TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSO
Authorized Official - Middle Name:
Authorized Official - Last Name:KADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-233-1315
Mailing Address - Street 1:43115 DEVON LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:734-237-1540
Practice Address - Street 1:43115 DEVON LN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3305
Practice Address - Country:US
Practice Address - Phone:734-233-1315
Practice Address - Fax:734-237-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID3255M343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)