Provider Demographics
NPI:1770107351
Name:RELIABLE TRANSIT 757,LLC
Entity type:Organization
Organization Name:RELIABLE TRANSIT 757,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:BERNICE
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:757-971-4968
Mailing Address - Street 1:3175 AZALEA GARDEN RD STE D
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2363
Mailing Address - Country:US
Mailing Address - Phone:757-589-7965
Mailing Address - Fax:
Practice Address - Street 1:3175 AZALEA GARDEN RD STE D
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2363
Practice Address - Country:US
Practice Address - Phone:757-589-7965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-30
Last Update Date:2020-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)