Healthcare Provider Details

I. General information

NPI: 1144698747
Provider Name (Legal Business Name): MRC MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2015
Last Update Date: 08/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3590 PASADENA DR
BATON ROUGE LA
70814-4620
US

IV. Provider business mailing address

3590 PASADENA DR
BATON ROUGE LA
70814-4620
US

V. Phone/Fax

Practice location:
  • Phone: 225-223-4427
  • Fax: 225-272-4965
Mailing address:
  • Phone: 225-223-4427
  • Fax: 225-272-4965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number00886963
License Number StateLA

VIII. Authorized Official

Name: MRS. RENEE DUPARD SMITH
Title or Position: OWNER
Credential:
Phone: 225-223-4427