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1538729785 NPI number — LIFEWAY MEDICAL TRANSPORT,LLC

NPI Number: 1538729785
Health Care Provider/Practitioner: LIFEWAY MEDICAL TRANSPORT,LLC

Information about “1538729785” NPI (LIFEWAY MEDICAL TRANSPORT,LLC) exists in 1538729785 in HTML format HTML  |  1538729785 in plain Text format TXT  |  1538729785 in PDF (Portable Document Format) PDF  |  1538729785 in an XML format XML  formats.

NPI Number : 1538729785 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538729785",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LIFEWAY MEDICAL TRANSPORT,LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5637 MEMORIAL DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VIRGINIA BEACH",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23455-3875",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-937-8162",
    "MailingAddressFaxNumber": "757-524-5024",
    "FirstLinePracticeLocationAddress": "5637 MEMORIAL DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VIRGINIA BEACH",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23455-3875",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "757-937-8162",
    "PracticeLocationAddressFaxNumber": "757-524-5024",
    "EnumerationDate": "06/19/2019",
    "LastUpdateDate": "01/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "THOMPSON",
    "AuthorizedOfficialFirstName": "MARQUIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "757-937-8162",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "343900000X",
          "TaxonomyName": "Non-emergency Medical Transport (VAN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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