Provider Demographics
NPI:1932982121
Name:TKT RELIABLE TRANSPORTATION L.L.C.
Entity Type:Organization
Organization Name:TKT RELIABLE TRANSPORTATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEANDRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-742-6185
Mailing Address - Street 1:1200 ETON COURT NW
Mailing Address - Street 2:STE 204 #260
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-3239
Mailing Address - Country:US
Mailing Address - Phone:800-742-6185
Mailing Address - Fax:800-742-6185
Practice Address - Street 1:1200 ETON COURT NW
Practice Address - Street 2:STE 204 #260
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-3239
Practice Address - Country:US
Practice Address - Phone:800-742-6185
Practice Address - Fax:800-742-6185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No342000000XTransportation ServicesTransportation Network Company