Organization Active NPI

L&L Collective LLC

Doing business as Bi-State Medical Transport

  • Land Ambulance
  • Black Jack, MO
National Provider Identifier
1417764283
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
L&L COLLECTIVE LLC
Doing business as
Bi-State Medical Transport
Practice address
11875 Old Halls Ferry Rd
Black Jack, MO 63033-6825
Phone
(832) 696-9868
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Leslie Lenoir
Title
Co-Owner
Phone
(832) 696-9868

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

11875 Old Halls Ferry Rd
Black Jack, MO 63033-6825

Mailing address

4571 Laclede Ave
PMB# 145
St Louis, MO 63108

Other names 1

  • Bi-State Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

4571 Laclede Ave
Saint Louis, MO 63108

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1417764283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 LACLEDE AVE",
            "address_2": "PMB# 145",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 OLD HALLS FERRY RD",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630336825",
            "telephone_number": "832-696-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L&L COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "LENOIR",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "832-696-9868"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bi-State Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Black Jack, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.