Provider Demographics
NPI:1821891607
Name:SPT MEDICAL TRANSPORT LLC
Entity type:Organization
Organization Name:SPT MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-509-1031
Mailing Address - Street 1:10341 WILLIAM FORTYE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-5012
Mailing Address - Country:US
Mailing Address - Phone:618-509-1031
Mailing Address - Fax:
Practice Address - Street 1:10341 WILLIAM FORTYE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-5012
Practice Address - Country:US
Practice Address - Phone:618-509-1031
Practice Address - Fax:618-509-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)