Active NPI
Logistic Transportation LLC
- Taxi
- Wakefield, MA
National Provider Identifier
1104204353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- S08819860
- Legal business name
- LOGISTIC TRANSPORTATION LLC
- Practice address
- 301 Edgewater PL 100
Wakefield, MA 01880 - Phone
- (978) 509-1791
- NPI assigned
- May 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Melvin Bautista
- Title
- Owner
- Phone
- (978) 475-7070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Taxi | 344600000X | S08819860 | MA | Primary |
Addresses
Primary practice location
301 Edgewater PL 100
Wakefield, MA 01880
Mailing address
301 Edgewater PL Ste 100
Wakefield, MA 01880-1281
Phone (978) 509-1791
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1104204353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 EDGEWATER PL STE 100",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801281",
"telephone_number": "978-509-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 EDGEWATER PL 100",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "01880",
"telephone_number": "978-509-1791"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGISTIC TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "BAUTISTA",
"authorized_official_first_name": "MELVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-475-7070",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "MA",
"license": "S08819860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.