Provider Demographics
NPI:1558965509
Name:EVIDENCE TRANSPORTATION AND LOGISTICS
Entity Type:Organization
Organization Name:EVIDENCE TRANSPORTATION AND LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLOYEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-462-5071
Mailing Address - Street 1:26 GRAND AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1270
Mailing Address - Country:US
Mailing Address - Phone:516-462-5071
Mailing Address - Fax:
Practice Address - Street 1:26 GRAND AVE APT 2
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-1270
Practice Address - Country:US
Practice Address - Phone:516-462-5071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle