Provider Demographics
NPI:1487028304
Name:ISHUTTLE, LLC
Entity type:Organization
Organization Name:ISHUTTLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/CTO
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-347-8472
Mailing Address - Street 1:9045 ELLERBE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-6799
Mailing Address - Country:US
Mailing Address - Phone:318-347-8472
Mailing Address - Fax:318-848-7754
Practice Address - Street 1:9045 ELLERBE RD STE 104
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71106-6799
Practice Address - Country:US
Practice Address - Phone:318-347-8472
Practice Address - Fax:318-848-7754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)