Provider Demographics
NPI:1255567491
Name:LRJ & ASSOCIATES TRANSPORTATION
Entity type:Organization
Organization Name:LRJ & ASSOCIATES TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSMERY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-699-4160
Mailing Address - Street 1:318 PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-4117
Mailing Address - Country:US
Mailing Address - Phone:708-699-4160
Mailing Address - Fax:708-801-9682
Practice Address - Street 1:318 PULASKI RD
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-4117
Practice Address - Country:US
Practice Address - Phone:708-699-4160
Practice Address - Fax:708-801-9682
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LRJ & ASSOCIATES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)