Dominique Transportation Services, LLC

Primary specialty

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

License

WMATC #1857 Issued in DC

Legal business name

DOMINIQUE TRANSPORTATION SERVICES, LLC

Doing business as

Innovative Medical Transport

Practice address

4953 6TH St NE
Washington, DC 20017-2310

Phone

(202) 300-3564

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Dominique

Title

President and Ceo

Phone

(240) 350-1702

Specialties & licenses 1

Addresses

Other names 1

• Innovative Medical Transport Doing business as

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1831457787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 6TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172310",
            "telephone_number": "202-300-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 6TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172310",
            "telephone_number": "202-300-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE TRANSPORTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "240-350-1702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "DC",
            "license": "WMATC #1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walter Joel Dominguez Lazo
• Barbara Dominguez, APRN, BC
• Luis William Dominguez, MD, MPH
• Rosa Mariela Diaz Dominguez
• Steven Dominguez
• Myrna Altagrace Dominique, MD, MBA
• Yuliya Anatolievna Domnina, MD
• Charles Domnisch, PT, DPT
• David Reid Domnitch, O.D.
• Jeanne Slora Domo Nejiotio

• Non-emergency Medical Transport (VAN) in Washington, DC
• Providers in Washington, DC by specialty
• Non-emergency Medical Transport (VAN) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.