Provider Demographics
NPI:1144106063
Name:AGILITY TRANSPORTATION LLC
Entity type:Organization
Organization Name:AGILITY TRANSPORTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRISBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-883-7060
Mailing Address - Street 1:6508 MOUNT HERMAN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-9401
Mailing Address - Country:US
Mailing Address - Phone:919-899-9119
Mailing Address - Fax:
Practice Address - Street 1:6508 MOUNT HERMAN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-9401
Practice Address - Country:US
Practice Address - Phone:919-899-9119
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies