Provider Demographics
NPI:1922349091
Name:L & M TRANSPORTATION LLC
Entity Type:Organization
Organization Name:L & M TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARVELL
Authorized Official - Middle Name:
Authorized Official - Last Name:TELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-344-0188
Mailing Address - Street 1:1836 KENNETH WAY
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-1254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1836 KENNETH WAY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1254
Practice Address - Country:US
Practice Address - Phone:626-344-0188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)