Panolia Medifleet LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

PANOLIA MEDIFLEET LLC

Practice address

3626 N Hall St Ste 610
Dallas, TX 75219-5131

Phone

(682) 399-7053

Fax

(682) 399-7053

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Chenayi Siachakanzwa

Title

Owner

Phone

(469) 615-9583

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1417797119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "682-399-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 N HALL ST STE 610",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195131",
            "telephone_number": "682-399-7053",
            "fax_number": "682-399-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOLIA MEDIFLEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "SIACHAKANZWA",
        "authorized_official_first_name": "CHENAYI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-615-9583"
    },
    "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": []
}

• Sarah Panjwani
• Jaton Pankau, R.D./L.D.
• Paul Pankoke
• Nona Lynn Pankonien, LCSW
• Michael Pannell
• Panoptic Medical
• Laura Panos, M.S., C.G.C
• Andrew David Pansick, M.D.
• Bob Lee Pansick, MD
• Melissa Anne Panter

• Secured Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.