Provider Demographics
NPI:1942982194
Name:ON DEMAND LOGISTICS CO.
Entity Type:Organization
Organization Name:ON DEMAND LOGISTICS CO.
Other - Org Name:RELIANT TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRONE
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-206-6639
Mailing Address - Street 1:1916 NEW BERN AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-2427
Mailing Address - Country:US
Mailing Address - Phone:252-206-6639
Mailing Address - Fax:
Practice Address - Street 1:1916 NEW BERN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-2427
Practice Address - Country:US
Practice Address - Phone:252-206-6639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization