Provider Demographics
NPI:1912195074
Name:METROLINK EXPRESS, LLC
Entity Type:Organization
Organization Name:METROLINK EXPRESS, LLC
Other - Org Name:METROLINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TAKESHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-235-0041
Mailing Address - Street 1:2818 BANWICK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-3805
Mailing Address - Country:US
Mailing Address - Phone:614-235-0041
Mailing Address - Fax:614-235-0042
Practice Address - Street 1:2818 BANWICK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-3805
Practice Address - Country:US
Practice Address - Phone:614-235-0041
Practice Address - Fax:614-235-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2773315343800000X, 343900000X
347C00000X, 347E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker