MEDICARE: GO TIME LOGISTICS 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1912854407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GO TIME LOGISTICS LLC

Provider Business Mailing Address
First Line	:	25316 SAINT CLEMENT DR
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-3578
Country	:	US
Telephone Number	:	586-301-9633
Fax Number	:

Provider Business Practice Location Address
First Line	:	25316 SAINT CLEMENT DR
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48089-3578
Country	:	US
Telephone Number	:	586-301-9633
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	DOMONIQUE GOLDSMITH
Credential	:
Telephone Number	:	313-929-1033

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “GO TIME LOGISTICS LLC ” Practice Location

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