Healthcare Provider Details

I. General information

NPI: 1508578881
Provider Name (Legal Business Name): UNIQUE TRADES TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 AIRLINE HWY STE 253
BATON ROUGE LA
70816-8006
US

IV. Provider business mailing address

9800 AIRLINE HWY STE 253
BATON ROUGE LA
70816-8006
US

V. Phone/Fax

Practice location:
  • Phone: 225-256-2220
  • Fax:
Mailing address:
  • Phone: 225-256-2220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. TANYA DENISE JOHNSON
Title or Position: OWNER
Credential:
Phone: 225-256-2220