Healthcare Provider Details

I. General information

NPI: 1780301101
Provider Name (Legal Business Name): LYRUS TRANSPORT & CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2022
Last Update Date: 10/26/2022
Certification Date: 10/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1931 ARBOR WALK
DAYTON OH
45459-3465
US

IV. Provider business mailing address

1931 ARBOR WALK
DAYTON OH
45459-3465
US

V. Phone/Fax

Practice location:
  • Phone: 614-717-8319
  • Fax:
Mailing address:
  • Phone: 614-717-8319
  • 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: JEETENDAR MOHAN
Title or Position: CEO
Credential:
Phone: 614-717-8319