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NPI Code Detail

MEDICARE: NEON CAPITAL LOGISTICS LLC

MEDICARE: NEON CAPITAL 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1982484192
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEON CAPITAL LOGISTICS LLC
Provider Business Mailing Address
First Line : 5250 S RAINBOW BLVD UNIT 2024
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-0631
Country : US
Telephone Number : 571-388-9558
Fax Number :
Provider Business Practice Location Address
First Line : 5250 S RAINBOW BLVD UNIT 2024
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-0631
Country : US
Telephone Number : 571-388-9558
Fax Number :
Authorized Official
Title or Position : MANAGING OWNER
Name : MICHAEL MISSIKER
Credential :
Telephone Number : 571-388-9558
Provider Enumeration Date : 10/04/2023
Last Update Date : 10/04/2023

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Directions to “NEON CAPITAL LOGISTICS LLC ” Practice Location

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