MEDICARE: LOGISTICS TRANSPORTATION SERVICES INC.

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	344600000X	Taxi
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1306500160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOGISTICS TRANSPORTATION SERVICES INC.

Provider Business Mailing Address
First Line	:	8 MUNROE ST UNIT 1
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-3518
Country	:	US
Telephone Number	:	857-615-3992
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 MUNROE ST UNIT 1
Second Line	:
City	:	BEVERLY
State	:	MA
Zip	:	01915-3518
Country	:	US
Telephone Number	:	857-615-3992
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DRIVER
Name	:	LUIS A SHEPHARD
Credential	:
Telephone Number	:	857-615-3992

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	10/27/2021

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