Provider Demographics
NPI:1417784083
Name:NETLINX TRANSPORT LLC
Entity type:Organization
Organization Name:NETLINX TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER (COO)
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-603-0321
Mailing Address - Street 1:1799 BAYSHORE HWY STE 168E
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1319
Mailing Address - Country:US
Mailing Address - Phone:650-338-4638
Mailing Address - Fax:
Practice Address - Street 1:1799 BAYSHORE HWY STE 168E
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1319
Practice Address - Country:US
Practice Address - Phone:650-338-4638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)