Healthcare Provider Details

I. General information

NPI: 1699685933
Provider Name (Legal Business Name): LIGHTSPEED TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14207 108TH AVENUE CT E
PUYALLUP WA
98374-4912
US

IV. Provider business mailing address

14207 108TH AVENUE CT E
PUYALLUP WA
98374-4912
US

V. Phone/Fax

Practice location:
  • Phone: 253-466-8864
  • Fax:
Mailing address:
  • Phone: 253-408-2909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL

VIII. Authorized Official

Name: AYAT ABDULKAREEM ALKADBAN
Title or Position: OWNER
Credential:
Phone: 253-408-2909