Organization
MLR TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS RANDLE (OWNER)
(248) 677-1657
Entity
Organization
Contact information
Practice address
26200 FORD RD., BOX 445, DEARBORN HEIGHTS, MI 48127-0445
(248) 677-1657
(248) 282-0375
Mailing address
26200 FORD RD., PO BOX 445, DEARBORN HEIGHTS, MI 48127-0445
(248) 677-1657
(248) 282-0375
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L2864
MI
Other
Enumeration date
04/23/2012
Last updated
07/05/2012
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