Provider Demographics
NPI:1104464288
Name:SRT TRANSPORTATION L.L.C.
Entity type:Organization
Organization Name:SRT TRANSPORTATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TEMETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-272-0872
Mailing Address - Street 1:6608 VENUS DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71119-5014
Mailing Address - Country:US
Mailing Address - Phone:318-272-0873
Mailing Address - Fax:318-779-1731
Practice Address - Street 1:6608 VENUS DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71119-5014
Practice Address - Country:US
Practice Address - Phone:318-272-0873
Practice Address - Fax:318-779-1731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)