Provider Demographics
NPI:1790158095
Name:TLA ENTERPRISES
Entity Type:Organization
Organization Name:TLA ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:L
Authorized Official - Last Name:ANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-355-8581
Mailing Address - Street 1:1205 N 18TH ST
Mailing Address - Street 2:212
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5461
Mailing Address - Country:US
Mailing Address - Phone:318-355-8581
Mailing Address - Fax:318-737-1215
Practice Address - Street 1:1205 N 18TH ST
Practice Address - Street 2:212
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5461
Practice Address - Country:US
Practice Address - Phone:318-355-8581
Practice Address - Fax:318-737-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)