MEDICARE: R.J. LOGISTICS & TRANSPORTATION CO.

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
1	343900000X	Non-emergency Medical Transport (VAN)
2	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1205789674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R.J. LOGISTICS & TRANSPORTATION CO.

Provider Business Mailing Address
First Line	:	1811 SARDIS RD N STE 218
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-3000
Country	:	US
Telephone Number	:	704-349-9859
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 SARDIS RD N STE 218
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-3000
Country	:	US
Telephone Number	:	704-349-9859
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	TK MADISON
Credential	:
Telephone Number	:	614-999-3220

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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