# PANTHEON TRANSPORTATION GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568188894
- **Authorized official:** TIFFANY LITTLE (OWNER)
- **Authorized official phone:** (414) 567-8551

## Contact information

- **Practice address:** 6001 W CAPITOL DR STE 206, MILWAUKEE, WI 53216-2155
- **Practice address phone:** (414) 567-8551
- **Mailing address:** 12420 W HAMPTON AVE UNIT 164, BUTLER, WI 53007-5008
- **Mailing address phone:** (414) 567-8551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 342000000X | Transportation Network Company | — | NULL | — |
| 343800000X | Secured Medical Transport (VAN) | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 344600000X | Taxi | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 10/18/2022