Provider Demographics
NPI:1801668751
Name:PRIMETIME MEDICAL TRANSPORTATION, LLC
Entity type:Organization
Organization Name:PRIMETIME MEDICAL TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-706-2686
Mailing Address - Street 1:210 LONDONSHIRE TER
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-2114
Mailing Address - Country:US
Mailing Address - Phone:757-706-2686
Mailing Address - Fax:
Practice Address - Street 1:210 LONDONSHIRE TER
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-2114
Practice Address - Country:US
Practice Address - Phone:757-706-2686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)