Provider Demographics
NPI:1922797216
Name:PERSONALIZED MEDICAL TRANSPORT LLC.
Entity Type:Organization
Organization Name:PERSONALIZED MEDICAL TRANSPORT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TALMADGE
Authorized Official - Middle Name:CORBETT
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-778-5768
Mailing Address - Street 1:323 B CENTER AVE, NEWPORT NEWS, VA 23601, USA
Mailing Address - Street 2:B
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601
Mailing Address - Country:US
Mailing Address - Phone:757-778-5768
Mailing Address - Fax:
Practice Address - Street 1:323 B CENTER AVE, NEWPORT NEWS, VA 23601, USA
Practice Address - Street 2:B
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2360
Practice Address - Country:US
Practice Address - Phone:757-778-5768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle