Louisiana Medic Transport LLC

Primary specialty

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

License

A826612 Issued in LA

Legal business name

LOUISIANA MEDIC TRANSPORT LLC

Practice address

223 Lake Village Dr
West Monroe, LA 71291-9035

Phone

(318) 820-0094

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shaista Waqar Siddiqui

Title

Member/Owner

Phone

(318) 820-0094

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1215489380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 LAKE VILLAGE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919035",
            "telephone_number": "318-820-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 LAKE VILLAGE DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919035",
            "telephone_number": "318-820-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA MEDIC TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SHAISTA",
        "authorized_official_middle_name": "WAQAR",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "318-820-0094",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "17496 PT",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "A826612",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "A826613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.