MSK Transportation

Primary specialty

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

License

100298289 Issued in SC

Legal business name

MSK TRANSPORTATION

Practice address

226 Lake Dale Ave
Lake City, SC 29560

Phone

(803) 308-0524

Fax

(843) 408-4616

NPI assigned

Nov 16, 2017

Last updated

Aug 22, 2018By 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

Lavoris Frazier

Title

Owner

Phone

(803) 860-1844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1558875211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 LAKE DALE AVE",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602220",
            "telephone_number": "803-308-0524",
            "fax_number": "843-408-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 LAKE DALE AVE",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "29560",
            "telephone_number": "803-308-0524",
            "fax_number": "843-408-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "LAVORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-860-1844"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": "100298289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Moon, M.D.
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• Non-emergency Medical Transport (VAN) in Lake City, SC
• Providers in Lake City, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.