Provider Demographics
NPI:1104541952
Name:CLEAR LINE LOGISTICS
Entity type:Organization
Organization Name:CLEAR LINE LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:805-294-5973
Mailing Address - Street 1:1131 OLIVIA DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-5465
Mailing Address - Country:US
Mailing Address - Phone:805-294-5973
Mailing Address - Fax:
Practice Address - Street 1:1131 OLIVIA DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5465
Practice Address - Country:US
Practice Address - Phone:805-294-5973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)