Larson Medicak Transport, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

LARSON MEDICAK TRANSPORT, LLC

Practice address

1465 Gravel Rd
Seneca Falls, NY 13148-9773

Phone

(315) 282-2300

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

James R Larson

Title

President

Phone

(315) 282-2300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1083147771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 GRAVEL RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489773",
            "telephone_number": "315-282-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 GRAVEL RD",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131489773",
            "telephone_number": "315-282-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARSON MEDICAK TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-282-2300"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04422524",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KPH Healthcare Services, Inc. (Kinney Drugs #65)
• Brad Lacroix
• Jeffrey Lagrange
• Jaime Lamanna, MS ED, LMHC
• Crystal M Lane, A-GNP-C
• James R Larson
• Norma Leone, RN
• Jordana Rachel Levine, STUDENT
• Aizhong Li, ACUPUNCTURIST
• Jessica Ann Liburdi

• Non-emergency Medical Transport (VAN) in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.