Healthcare Provider Details

I. General information

NPI: 1861396327
Provider Name (Legal Business Name): DANIELL MEDICAL TRANSPORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 AMBER DR
ZEBULON NC
27597-6510
US

IV. Provider business mailing address

25 AMBER DR
ZEBULON NC
27597-6510
US

V. Phone/Fax

Practice location:
  • Phone: 919-510-3910
  • Fax:
Mailing address:
  • Phone: 919-510-3910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. BRANDY DANIELL DUNSTON LASSITER
Title or Position: OWNER
Credential:
Phone: 919-510-3910