Provider Demographics
NPI:1861116923
Name:OBA'S MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:OBA'S MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEOLA
Authorized Official - Middle Name:BABAFEMI
Authorized Official - Last Name:OSUNLALU
Authorized Official - Suffix:
Authorized Official - Credentials:TRANSPORTAION
Authorized Official - Phone:312-468-4463
Mailing Address - Street 1:10950 WALNUT HILL LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2392
Mailing Address - Country:US
Mailing Address - Phone:312-468-4463
Mailing Address - Fax:
Practice Address - Street 1:10950 WALNUT HILL LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-2392
Practice Address - Country:US
Practice Address - Phone:312-468-4463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OBA'S MEDICAL TRANSPORTATION LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-03
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)