Healthcare Provider Details

I. General information

NPI: 1033045851
Provider Name (Legal Business Name): ALPHA TRANSPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 PATTERSON ST
LAFAYETTE LA
70501-2815
US

IV. Provider business mailing address

101 PATTERSON ST
LAFAYETTE LA
70501-2815
US

V. Phone/Fax

Practice location:
  • Phone: 337-280-8153
  • Fax: 337-214-0761
Mailing address:
  • Phone: 337-280-8153
  • Fax: 337-214-0761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JASON BRUNO
Title or Position: MEMBER
Credential:
Phone: 337-280-8153