Active NPI
T and L Transportation LLC
- Non-emergency Medical Transport (VAN)
- Dearborn, MI
National Provider Identifier
1699286773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- T AND L TRANSPORTATION LLC
- Practice address
- 23636 Michigan Ave
Dearborn, MI 48124-1910 - Phone
- (734) 299-6919
- NPI assigned
- Oct 17, 2017
- 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
- Mr. Lucius Broaden
- Title
- Ceo
- Phone
- (734) 299-6819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
23636 Michigan Ave
Dearborn, MI 48124-1910
Mailing address
23636 Michigan Ave Ste 556
Dearborn, MI 48124-1910
Phone (734) 299-6919
National Provider Directory
National Provider DirectoryLocations
23636 Michigan Ave
Dearborn, MI 48124
Phone (734) 299-6919
23636 Michigan Ave
Ste 556
Dearborn, MI 48124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509580800000",
"number": "1699286773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23636 MICHIGAN AVE STE 556",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241910",
"telephone_number": "734-299-6919",
"fax_number": "313-557-1823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23636 MICHIGAN AVE",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481241910",
"telephone_number": "734-299-6919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T AND L TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-17",
"last_updated": "2017-11-02",
"status": "A",
"authorized_official_last_name": "BROADEN",
"authorized_official_first_name": "LUCIUS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "734-299-6819",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.