Provider Demographics
NPI:1851890081
Name:NATIONAL LOGISTICS LLC
Entity Type:Organization
Organization Name:NATIONAL LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEJONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-975-8885
Mailing Address - Street 1:2715 GOLDEN CREEK LANE #802
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006
Mailing Address - Country:US
Mailing Address - Phone:817-975-8885
Mailing Address - Fax:
Practice Address - Street 1:2715 GOLDEN CREEK LANE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006
Practice Address - Country:US
Practice Address - Phone:817-975-8885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL LOGISTICS LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)