Provider Demographics
NPI:1841188992
Name:EXCEL NON- MEDICAL TRANSPORTATION SERVICE LLC
Entity type:Organization
Organization Name:EXCEL NON- MEDICAL TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKISH
Authorized Official - Middle Name:SHEREE
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-594-2204
Mailing Address - Street 1:2419 MONTCLAIR ST
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95205-7737
Mailing Address - Country:US
Mailing Address - Phone:209-594-2204
Mailing Address - Fax:
Practice Address - Street 1:2419 MONTCLAIR ST
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95205-7737
Practice Address - Country:US
Practice Address - Phone:209-594-2204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)