Organization
PREMIUM PETAL LLC
Active
Organization
PREMIUM PETAL LLC
Active
Other names
Premium Petal Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJAH MARSHALL (OWNER)
(804) 501-9127
Entity
Organization
Contact information
Practice address
13663 VAN DOREN RD, MANASSAS, VA 20112-3804
(804) 501-9127
Mailing address
13663 VAN DOREN RD, MANASSAS, VA 20112-3804
(804) 501-9127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up