Provider Demographics
NPI:1851253181
Name:LG TRANSPORT
Entity type:Organization
Organization Name:LG TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:YELOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-614-4277
Mailing Address - Street 1:2918 N 108TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-3710
Mailing Address - Country:US
Mailing Address - Phone:402-614-4277
Mailing Address - Fax:
Practice Address - Street 1:2918 N 108TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-3710
Practice Address - Country:US
Practice Address - Phone:402-614-4277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIONS GATE SECURITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-25
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)