Provider Demographics
NPI:1841590023
Name:PTL TRANSPORTATION SERVICES,LLC
Entity Type:Organization
Organization Name:PTL TRANSPORTATION SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-735-3145
Mailing Address - Street 1:500 STILLWATER DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3800
Mailing Address - Country:US
Mailing Address - Phone:757-735-3145
Mailing Address - Fax:757-277-9241
Practice Address - Street 1:500 STILLWATER DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3800
Practice Address - Country:US
Practice Address - Phone:757-735-3145
Practice Address - Fax:757-277-9241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)