MEDICARE: C-DAT SAFE TRANSIT 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
1	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1528870391
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C-DAT SAFE TRANSIT LLC

Provider Business Mailing Address
First Line	:	2830 LOUISIANA AVE APT 58
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1372
Country	:	US
Telephone Number	:	337-706-4770
Fax Number	:

Provider Business Practice Location Address
First Line	:	2830 LOUISIANA AVE APT 58
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70501-1372
Country	:	US
Telephone Number	:	337-706-4770
Fax Number	:

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. CRANDELL LEBLANC
Credential	:
Telephone Number	:	337-706-4770

Provider Enumeration Date	:	01/21/2025
Last Update Date	:	01/22/2025

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Directions to “C-DAT SAFE TRANSIT LLC ” Practice Location

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