Healthcare Provider Details

I. General information

NPI: 1477044436
Provider Name (Legal Business Name): CXL TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2018
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7149 JENNINGS RD NE
LELAND NC
28451-9431
US

IV. Provider business mailing address

7149 JENNINGS RD NE
LELAND NC
28451-9431
US

V. Phone/Fax

Practice location:
  • Phone: 910-231-5770
  • Fax:
Mailing address:
  • Phone: 910-231-5770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNC

VIII. Authorized Official

Name: KEVIN LAMONT LANE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 910-231-5770