Whalio Doctors

NPI 1205154002

Agile Specialty Transportation, LLC

Organisation Non-emergency Medical Transport (VAN) Hazelwood, MO

Practice location

Address
320 Brookes Dr STE 212, Hazelwood, MO 63042-2740
Phone
(314) 443-7565
Fax
(314) 355-5130

Authorised official

Name
Feonn L. Randall
Title
Operations Mgr.
Phone
(314) 443-7565

Registered specialties (2)

Non-emergency Medical Transport (VAN) Primary
Transportation Services Taxonomy 343900000X Licence LC0888387 (MO)
Ambulance
Transportation Services Taxonomy 341600000X Licence LC0888387 (MO)

Registry record

NPI
1205154002
Entity type
Organization
NPI issued
4 May 2010
Record last updated
4 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.