Provider Demographics
NPI:1669349429
Name:MEDIGO TRANSPORT LLC
Entity type:Organization
Organization Name:MEDIGO TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:OLATUNJI
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:136-047-1902
Mailing Address - Street 1:4501 E MAIN ST APT 405
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-1139
Mailing Address - Country:US
Mailing Address - Phone:360-471-9022
Mailing Address - Fax:136-047-1902
Practice Address - Street 1:4501 E MAIN ST APT 405
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-1139
Practice Address - Country:US
Practice Address - Phone:360-471-9022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)