Provider Demographics
NPI:1811436355
Name:MASON TRANSIT LLC
Entity type:Organization
Organization Name:MASON TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-559-1248
Mailing Address - Street 1:1020 PARK DR
Mailing Address - Street 2:UNIT 147
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-2536
Mailing Address - Country:US
Mailing Address - Phone:773-559-1248
Mailing Address - Fax:708-365-6441
Practice Address - Street 1:3739 LISMORE ST
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-4313
Practice Address - Country:US
Practice Address - Phone:773-559-1248
Practice Address - Fax:708-365-6441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)