NPIMap

Organization Active NPI

Lysa Transportation Service LLC

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
National Provider Identifier
1003303538
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LYSA TRANSPORTATION SERVICE LLC
Practice address
3118 Wallace Dr
Shreveport, LA 71119-3306
Phone
(318) 572-2566
NPI assigned
Apr 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cedriquze Johnson
Title
Owner
Phone
(318) 572-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LA Primary

Addresses

Primary practice location

3118 Wallace Dr
Shreveport, LA 71119-3306

Mailing address

3118 Wallace Dr
Shreveport, LA 71119-3306
Phone (318) 572-2566

Other names 1

  • LYSA TRANSPORTATION SERVICE LLC/CED JOHNSON Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1003303538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 WALLACE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711193306",
            "telephone_number": "318-572-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 WALLACE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711193306",
            "telephone_number": "318-572-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSA TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CEDRIQUZE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-572-2566"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYSA TRANSPORTATION SERVICE LLC/CED JOHNSON",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.