Provider Demographics
NPI:1013785179
Name:DLP TRANSPORT LLC
Entity Type:Organization
Organization Name:DLP TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:D
Authorized Official - Last Name:MUNDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-304-9924
Mailing Address - Street 1:11963 LAKE CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:OH
Mailing Address - Zip Code:45246-1524
Mailing Address - Country:US
Mailing Address - Phone:513-304-4992
Mailing Address - Fax:
Practice Address - Street 1:11963 LAKE CIRCLE DR
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-1524
Practice Address - Country:US
Practice Address - Phone:513-304-9924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)