Healthcare Provider Details

I. General information

NPI: 1205789674
Provider Name (Legal Business Name): R.J. LOGISTICS & TRANSPORTATION CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 SARDIS RD N STE 218
CHARLOTTE NC
28270-3000
US

IV. Provider business mailing address

1811 SARDIS RD N STE 218
CHARLOTTE NC
28270-3000
US

V. Phone/Fax

Practice location:
  • Phone: 704-349-9859
  • Fax:
Mailing address:
  • Phone: 704-349-9859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TK MADISON
Title or Position: COO
Credential:
Phone: 614-999-3220