Provider Demographics
NPI:1063057990
Name:LANDFLIGHT EXPRESS LLC
Entity type:Organization
Organization Name:LANDFLIGHT EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:OSUJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-370-1741
Mailing Address - Street 1:801 SUMMIT AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-7813
Mailing Address - Country:US
Mailing Address - Phone:336-392-3784
Mailing Address - Fax:
Practice Address - Street 1:801 SUMMIT AVE STE 6
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7813
Practice Address - Country:US
Practice Address - Phone:336-392-3784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)