Landstar Medical Transport Inc.

Primary specialty

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

Legal business name

LANDSTAR MEDICAL TRANSPORT INC.

Practice address

10304 Eaton PL Ste 100
Fairfax, VA 22030-2238

Phone

(786) 362-4516

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Angel Mario Fernandez

Title

President

Phone

(786) 362-4516

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Ivan Fernandez

  • Physical Therapist
  • Miami Lakes, FL
  • NPI 1437615333
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1235731704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 TAMIAMI CANAL RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264561",
            "telephone_number": "786-362-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 EATON PL STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302238",
            "telephone_number": "786-362-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDSTAR MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-362-4516"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Scott Lamp, D.C.
• Steven Lampert, Ma
• Kara N Landefeld, CSW
• Nancy Landis
• Tucker J Landry, LCSW
• Danielle M Landzinski, PA-C
• Debra Lane
• Jeffrey A Lane, D.D.S.
• Kathleen Marie Langan, M.D.
• Haley Nichole Langert

• Non-emergency Medical Transport (VAN) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.