Dna Transportation L.L.C

Primary specialty

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

Legal business name

DNA TRANSPORTATION L.L.C

Practice address

4845 Patricia Ridge Dr
Black Jack, MO 63033-7217

Phone

(314) 575-8724

NPI assigned

Feb 10, 2020

Last updated

Feb 10, 2020By 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

Mr. Darell Lamont Willis

Title

Owner/Partner

Phone

(314) 575-8724

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1982236675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 PATRICIA RIDGE DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630337217",
            "telephone_number": "314-575-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 PATRICIA RIDGE DR",
            "city": "BLACK JACK",
            "state": "MO",
            "postal_code": "630337217",
            "telephone_number": "314-575-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA TRANSPORTATION L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "DARELL",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "314-575-8724",
        "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": []
}

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• Non-emergency Medical Transport (VAN) in Black Jack, MO
• Providers in Black Jack, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.