Legacy Medical Transportation

Primary specialty

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

License

L10938 Issued in MI

Legal business name

LEGACY MEDICAL TRANSPORTATION

Practice address

4300 Seymour St
Dearborn, MI 48126-2957

Phone

(313) 615-0504

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Foiad Mohamed

Title

Owner

Phone

(313) 615-0504

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1295288587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SEYMOUR ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 SEYMOUR ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262957",
            "telephone_number": "313-615-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FOIAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-615-0504"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": "L10938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura D Lee
• Micah Richelle Lee
• Shannon Nicole Lee
• Valencia Maire Lee
• Ashton Leftridge
• Nailah D Leggett
• Alden Marvin Leib, D.D.S.,M.S.
• Haley Elizabeth Leleniewski
• Kyleigh-Jo Marie Lemerande
• Joseph Lempicki, LLP

• Non-emergency Medical Transport (VAN) in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.