Provider Demographics
NPI:1679170229
Name:NET RUNS LLC
Entity Type:Organization
Organization Name:NET RUNS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATAVIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:RANDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-458-3190
Mailing Address - Street 1:2703 BEVERLY P WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PRICHARD
Mailing Address - State:AL
Mailing Address - Zip Code:36613-3449
Mailing Address - Country:US
Mailing Address - Phone:251-458-3190
Mailing Address - Fax:
Practice Address - Street 1:2703 BEVERLY P WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PRICHARD
Practice Address - State:AL
Practice Address - Zip Code:36613-3449
Practice Address - Country:US
Practice Address - Phone:251-458-3190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)