MEDICARE: DMO 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
1	343800000X	Secured Medical Transport (VAN)
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1922803717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DMO LLC

Provider Business Mailing Address
First Line	:	PO BOX 15063
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80935-5063
Country	:	US
Telephone Number	:	719-306-8191
Fax Number	:

Provider Business Practice Location Address
First Line	:	2169 DELTA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80910-1347
Country	:	US
Telephone Number	:	719-306-8191
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL K. OLABOKUNDE
Credential	:
Telephone Number	:	719-306-8191

Provider Enumeration Date	:	02/15/2025
Last Update Date	:	02/15/2025

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Directions to “DMO LLC ” Practice Location

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