MEDICARE: LAVI MED TRANSPORT 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	:	1295499424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAVI MED TRANSPORT CO

Provider Business Mailing Address
First Line	:	1319 EL CAMINO VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3025
Country	:	US
Telephone Number	:	832-573-7768
Fax Number	:

Provider Business Practice Location Address
First Line	:	1319 EL CAMINO VILLAGE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3025
Country	:	US
Telephone Number	:	832-573-7768
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. HICHAM AKEL
Credential	:
Telephone Number	:	832-573-7768

Provider Enumeration Date	:	10/25/2021
Last Update Date	:	08/09/2022

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Directions to “LAVI MED TRANSPORT CO ” Practice Location

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