Healthcare Provider Details

I. General information

NPI: 1144991951
Provider Name (Legal Business Name): 310 TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2021
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 FORREST DR STE 5
NEWPORT NEWS VA
23606-4513
US

IV. Provider business mailing address

813 FORREST DR STE 5
NEWPORT NEWS VA
23606-4513
US

V. Phone/Fax

Practice location:
  • Phone: 757-534-8722
  • Fax: 757-782-4322
Mailing address:
  • Phone: 757-534-8722
  • Fax: 757-782-4322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: CHARLES LEE THOMPSON
Title or Position: OWNER
Credential: NEMT
Phone: 757-732-3869