Healthcare Provider Details

I. General information

NPI: 1356002844
Provider Name (Legal Business Name): DLB TRANSPORTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2022
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5854 WALMSLEY BLVD
RICHMOND VA
23224-5812
US

IV. Provider business mailing address

5854 WALMSLEY BLVD
RICHMOND VA
23224-5812
US

V. Phone/Fax

Practice location:
  • Phone: 804-615-4542
  • Fax: 804-272-1903
Mailing address:
  • Phone: 804-615-4542
  • Fax: 804-272-1903

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: NICOLE THOMAS
Title or Position: OWNER
Credential:
Phone: 804-615-4542