Provider Demographics
NPI:1144991951
Name:310 TRANSPORTATION LLC
Entity type:Organization
Organization Name:310 TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT
Authorized Official - Phone:757-732-3869
Mailing Address - Street 1:813 FORREST DR STE 5
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4513
Mailing Address - Country:US
Mailing Address - Phone:757-534-8722
Mailing Address - Fax:757-782-4322
Practice Address - Street 1:813 FORREST DR STE 5
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4513
Practice Address - Country:US
Practice Address - Phone:757-534-8722
Practice Address - Fax:757-782-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker