DLK Prime Transport LLC

Primary specialty

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

License

85699867 Issued in NC

Legal business name

DLK PRIME TRANSPORT LLC

Practice address

1908 Harcourt Cir
Apt 104
Fayetteville, NC 28304-0437

Phone

(910) 221-9431

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Daniel Kwaku Gbediame

Title

Ceo Owner/ Operator

Phone

(910) 221-9431

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1629439450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 CLIFFDALE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034936",
            "telephone_number": "910-221-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 HARCOURT CIR",
            "address_2": "APT 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040437",
            "telephone_number": "910-221-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLK PRIME TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "GBEDIAME",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KWAKU",
        "authorized_official_title_or_position": "CEO OWNER/ OPERATOR",
        "authorized_official_telephone_number": "910-221-9431"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NC",
            "license": "85699867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.