Provider Demographics
NPI:1871063743
Name:CENTRAL LOUISIANA MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:CENTRAL LOUISIANA MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-447-4758
Mailing Address - Street 1:820 N PRESTON ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-2118
Mailing Address - Country:US
Mailing Address - Phone:318-500-3346
Mailing Address - Fax:318-230-7073
Practice Address - Street 1:820 N PRESTON ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2118
Practice Address - Country:US
Practice Address - Phone:318-500-3346
Practice Address - Fax:318-230-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)