Provider Demographics
NPI:1639893852
Name:O & L MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:O & L MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ONTONIA
Authorized Official - Middle Name:COSANDRA
Authorized Official - Last Name:MURPHY LANGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-814-1323
Mailing Address - Street 1:2109 SAINT ANDREW ST STE 14A
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-2146
Mailing Address - Country:US
Mailing Address - Phone:252-814-1323
Mailing Address - Fax:
Practice Address - Street 1:2109 SAINT ANDREW ST STE 14A
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-2146
Practice Address - Country:US
Practice Address - Phone:252-814-1323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)