Healthcare Provider Details

I. General information

NPI: 1477463149
Provider Name (Legal Business Name): EAB LOGISTICS, LCC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 EMPIRE ST APT 3
LYNN MA
01902-1894
US

IV. Provider business mailing address

58 EMPIRE ST APT 3
LYNN MA
01902-1894
US

V. Phone/Fax

Practice location:
  • Phone: 781-346-5655
  • Fax:
Mailing address:
  • Phone: 781-346-5655
  • Fax: --

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: BARBARA PENA
Title or Position: OWNER
Credential:
Phone: 781-346-5655