Healthcare Provider Details

I. General information

NPI: 1740193838
Provider Name (Legal Business Name): MIDLAND TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7809 WOOD REED DR
MADISON WI
53719-4423
US

IV. Provider business mailing address

7809 WOOD REED DR
MADISON WI
53719-4423
US

V. Phone/Fax

Practice location:
  • Phone: 608-609-5171
  • Fax:
Mailing address:
  • Phone: 608-609-5171
  • 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: LAYLO A HASSAN
Title or Position: OWNER
Credential:
Phone: 608-609-5171