Mediserv Logistics LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

MEDISERV LOGISTICS LLC

Practice address

301 McCullough Dr Ste 400
Charlotte, NC 28262-1336

Phone

(704) 966-2204

NPI assigned

Sep 6, 2019

Last updated

Sep 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lashonda Warren

Title

Managing Partner

Phone

(704) 966-2204

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1417506940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621336",
            "telephone_number": "704-966-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621336",
            "telephone_number": "704-966-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERV LOGISTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "704-966-2204"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Secured Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.