Provider Demographics
NPI:1427433085
Name:LAYTER TRANS SERVICE
Entity type:Organization
Organization Name:LAYTER TRANS SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-319-0318
Mailing Address - Street 1:7001 MARCLIFF CT APT 201
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3963
Mailing Address - Country:US
Mailing Address - Phone:804-319-0318
Mailing Address - Fax:804-515-7501
Practice Address - Street 1:7001 MARCLIFF CT APT 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-3963
Practice Address - Country:US
Practice Address - Phone:804-319-0318
Practice Address - Fax:804-515-7501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAYTER TRANSPORTATION COM. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA64219772347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAA64219772OtherDRIVER LICENSE
VAA64219772OtherDRIVER; LICENSE