Organization
MC TRANSPORT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL R LOSER (MANAGING MEMBER)
(804) 317-6591
Entity
Organization
Contact information
Practice address
1211 NE 25TH ST, WINSTON SALEM, NC 27105-5428
(336) 564-6028
Mailing address
4920 LIGHTHOUSE CT, WINSTON SALEM, NC 27127-6814
(804) 317-6591
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/29/2021
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