Organization
LIFEWAY MEDICAL TRANSPORT,LLC
Active
Organization
LIFEWAY MEDICAL TRANSPORT,LLC
Active
Other names
LifeWay Medical Transport,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUIS THOMPSON (OWNER)
(757) 937-8162
Entity
Organization
Contact information
Practice address
5637 MEMORIAL DR, VIRGINIA BEACH, VA 23455-3875
(757) 937-8162
(757) 524-5024
Mailing address
5637 MEMORIAL DR, VIRGINIA BEACH, VA 23455-3875
(757) 937-8162
(757) 524-5024
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/19/2019
Last updated
01/12/2024
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