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NPI Code Detail

MEDICARE: C-DAT SAFE TRANSIT LLC

MEDICARE: C-DAT SAFE TRANSIT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343800000XSecured Medical Transport (VAN)

General Provider Information

NPI Number : 1528870391
Entity Type Code : Organization
Provider Name (Legal Business Name) : C-DAT SAFE TRANSIT LLC
Provider Business Mailing Address
First Line : 2830 LOUISIANA AVE APT 58
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-1372
Country : US
Telephone Number : 337-706-4770
Fax Number :
Provider Business Practice Location Address
First Line : 2830 LOUISIANA AVE APT 58
Second Line :
City : LAFAYETTE
State : LA
Zip : 70501-1372
Country : US
Telephone Number : 337-706-4770
Fax Number :
Authorized Official
Title or Position : CEO/OWNER
Name : MR. CRANDELL LEBLANC
Credential :
Telephone Number : 337-706-4770
Provider Enumeration Date : 01/21/2025
Last Update Date : 01/22/2025

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Directions to “C-DAT SAFE TRANSIT LLC ” Practice Location

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