Provider Demographics
NPI:1942909239
Name:OMNI TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:OMNI TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:BIRRIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-968-0536
Mailing Address - Street 1:3123 FAIRVIEW ST APT 201
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-3237
Mailing Address - Country:US
Mailing Address - Phone:757-968-0536
Mailing Address - Fax:
Practice Address - Street 1:3123 FAIRVIEW ST APT 201
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-3237
Practice Address - Country:US
Practice Address - Phone:757-968-0536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)