Active NPI
L&L Collective LLC
Doing business as Bi-State Medical Transport
- Land Ambulance
- Black Jack, MO
National Provider Identifier
1417764283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.