Provider Demographics
NPI:1285082438
Name:CDATRANSPORTATIONSERVICESLLC
Entity type:Organization
Organization Name:CDATRANSPORTATIONSERVICESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:ASHFORD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:901-652-5290
Mailing Address - Street 1:453 FOX VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127-2626
Mailing Address - Country:US
Mailing Address - Phone:901-652-5290
Mailing Address - Fax:
Practice Address - Street 1:453 FOX VALLEY DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127-2626
Practice Address - Country:US
Practice Address - Phone:901-652-5290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-28
Last Update Date:2016-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)