Provider Demographics
NPI:1871820225
Name:QUALITY MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:QUALITY MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:3183-267-6265
Mailing Address - Street 1:810 WINNSBORO RD
Mailing Address - Street 2:602 GRAYLING LANE
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71202-3445
Mailing Address - Country:US
Mailing Address - Phone:318-267-6265
Mailing Address - Fax:
Practice Address - Street 1:810 WINNSBORO ROAD
Practice Address - Street 2:602 GRAYLING LANE
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202
Practice Address - Country:US
Practice Address - Phone:318-267-6265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA090138343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)