MEDI TRANS LLC NPI 1689881575

NPI Information

NPI: 1689881575
Provider Name: MEDI TRANS, LLC
Classification: Transportation Broker - 347E00000X
Entity Type: Organization
Address:
102 ASMA BLVD STE 200
LAFAYETTE, LA
ZIP 70508
Phone: (337) 366-6618
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MEDI TRANS, LLC is a transportation broker in Lafayette, LA. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. MEDI TRANS, LLC NPI is 1689881575. The provider is registered as an organization entity type.

The provider's business location address is:

102 ASMA BLVD STE 200
LAFAYETTE, LA
ZIP 70508-843
Phone: (337) 366-6618
Fax: (337) 534-4485

The provider's authorized official is Paul A. Broussard .
The authorized official title is Ceo and has the following contact phone number (337) 534-4484.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)				No
2	347E00000X	Transportation Broker				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1011053	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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