Provider Demographics
NPI:1841897378
Name:SPOTLIGHT TRANSPORTATION
Entity type:Organization
Organization Name:SPOTLIGHT TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-702-5187
Mailing Address - Street 1:2804 55TH PL STE E
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3546
Mailing Address - Country:US
Mailing Address - Phone:317-523-8189
Mailing Address - Fax:317-981-1702
Practice Address - Street 1:2804 55TH PL STE E
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3546
Practice Address - Country:US
Practice Address - Phone:317-523-8189
Practice Address - Fax:317-981-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)