Provider Demographics
NPI:1902323256
Name:RELIABLE MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:RELIABLE MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADSIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-470-6859
Mailing Address - Street 1:113 ETNAM ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7311
Mailing Address - Country:US
Mailing Address - Phone:757-470-6859
Mailing Address - Fax:
Practice Address - Street 1:113 ETNAM ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-7311
Practice Address - Country:US
Practice Address - Phone:757-470-6859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)