Provider Demographics
NPI:1457057564
Name:CARBON TRUCKING AND TRANSPORT LLC
Entity Type:Organization
Organization Name:CARBON TRUCKING AND TRANSPORT LLC
Other - Org Name:DESERT ROLLERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SESSION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-367-7742
Mailing Address - Street 1:8360 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-3931
Mailing Address - Country:US
Mailing Address - Phone:301-367-4812
Mailing Address - Fax:
Practice Address - Street 1:8360 10TH AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3931
Practice Address - Country:US
Practice Address - Phone:301-367-4812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)