Provider Demographics
NPI:1881441384
Name:TRIA TRANSPORTATION LLC
Entity type:Organization
Organization Name:TRIA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRAYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCIA GUARDADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-877-7138
Mailing Address - Street 1:12910 W 92ND ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3752
Mailing Address - Country:US
Mailing Address - Phone:913-709-9092
Mailing Address - Fax:
Practice Address - Street 1:12910 W 92ND ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3752
Practice Address - Country:US
Practice Address - Phone:913-709-9092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)