MEDICARE: SUPER E TRANS 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	344600000X	Taxi
2	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1679306419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUPER E TRANS LLC

Provider Business Mailing Address
First Line	:	8401 MAYLAND DR STE S
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4648
Country	:	US
Telephone Number	:	804-603-1909
Fax Number	:

Provider Business Practice Location Address
First Line	:	9201 ENGLAND DR APT D
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229-4427
Country	:	US
Telephone Number	:	804-603-1909
Fax Number	:

Authorized Official
Title or Position	:	CEO/OPERATIONS MANAGER
Name	:	LOFUL ELYARDO
Credential	:
Telephone Number	:	804-603-1909

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	02/05/2026

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Directions to “SUPER E TRANS LLC ” Practice Location

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