Provider Demographics
NPI:1801589478
Name:ASR TRANSPORTATION L.L.C. 2
Entity type:Organization
Organization Name:ASR TRANSPORTATION L.L.C. 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DE'ASIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-530-3461
Mailing Address - Street 1:4754 VANGUARD AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-5938
Mailing Address - Country:US
Mailing Address - Phone:937-530-3461
Mailing Address - Fax:
Practice Address - Street 1:4754 VANGUARD AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-5938
Practice Address - Country:US
Practice Address - Phone:937-530-3461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)