Healthcare Provider Details

I. General information

NPI: 1407462252
Provider Name (Legal Business Name): PARALLAX TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13575 WELLINGTON CENTER CIR STE 101
GAINESVILLE VA
20155-4060
US

IV. Provider business mailing address

13575 WELLINGTON CENTER CIR STE 101
GAINESVILLE VA
20155-4060
US

V. Phone/Fax

Practice location:
  • Phone: 703-304-7889
  • Fax: 571-379-5891
Mailing address:
  • Phone: 703-304-7889
  • Fax: 571-379-5891

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: CHASE LAFFERTY
Title or Position: PRESIDENT
Credential:
Phone: 703-304-7889