Provider Demographics
NPI:1053969790
Name:CONSISTENT MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:CONSISTENT MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:SANDERS
Authorized Official - Last Name:LASHAWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-301-6848
Mailing Address - Street 1:1409 W MAIN ST APT A
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62220-1528
Mailing Address - Country:US
Mailing Address - Phone:618-301-6848
Mailing Address - Fax:
Practice Address - Street 1:1409 W MAIN ST APT A
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62220-1528
Practice Address - Country:US
Practice Address - Phone:618-301-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2022-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes342000000XTransportation ServicesTransportation Network Company
No172A00000XOther Service ProvidersDriverGroup - Single Specialty