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NPI Code Detail

MEDICARE: L & S METRO TRANSPORTATION LLC

MEDICARE: L & S METRO TRANSPORTATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1432-32-9067OTHERTNSTACI WOODWORTH

General Provider Information

NPI Number : 1073357273
Entity Type Code : Organization
Provider Name (Legal Business Name) : L & S METRO TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 2780 MORNING GROVE CT
Second Line :
City : CORDOVA
State : TN
Zip : 38016-4757
Country : US
Telephone Number : 501-908-9695
Fax Number :
Provider Business Practice Location Address
First Line : 2780 MORNING GROVE CT
Second Line :
City : CORDOVA
State : TN
Zip : 38016-4757
Country : US
Telephone Number : 501-908-9695
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RANDALL SCOTT WOODWORTH
Credential :
Telephone Number : 501-908-9695
Provider Enumeration Date : 06/21/2024
Last Update Date : 06/21/2024

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Directions to “L & S METRO TRANSPORTATION LLC ” Practice Location

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