Organization
DISTINCT TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORNELL LLOYD (CHIEF EXECUTIVE OFFICER)
(815) 295-1500
Entity
Organization
Contact information
Practice address
2165 S DOUGLAS DR # E183, CHANDLER, AZ 85286-0320
(602) 813-4003
Mailing address
1753 E BROADWAY RD STE 101-408, TEMPE, AZ 85282-1588
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
12/12/2023
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