MEDICARE: UNIQUE TRADES TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	343800000X	Secured Medical Transport (VAN)
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1508578881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE TRADES TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9800 AIRLINE HWY STE 253
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8006
Country	:	US
Telephone Number	:	225-256-2220
Fax Number	:

Provider Business Practice Location Address
First Line	:	9800 AIRLINE HWY STE 253
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8006
Country	:	US
Telephone Number	:	225-256-2220
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TANYA DENISE JOHNSON
Credential	:
Telephone Number	:	225-256-2220

Provider Enumeration Date	:	12/19/2022
Last Update Date	:	02/18/2026

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