MAVERICK MEDICAL TRANSPORT LLC
NPI 1144058934
Ambulance - Land Transport in Mullins, SC

Q: What is Maverick Medical Transport LLC's NPI number?

The NPI number for Maverick Medical Transport LLC is 1144058934. It was assigned to this organization in the NPPES registry on July 23, 2024. The provider is doing business as Maverick Medical Transport.

Q: What is Maverick Medical Transport LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since July 23, 2024CLIA 42D2304862 · Waiver

6820 LESLIE LEWIS RD, MULLINS, SC 29574(843) 902-7582 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maverick Medical Transport Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVERICK MEDICAL TRANSPORT LLC (NPI 1144058934), doing business as Maverick Medical Transport, is a healthcare organization registered as a land transport in Mullins, South Carolina and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Kenneth Carl Staples, Com, as its authorized official.

NPPES Registry Identity

NPI1144058934

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameMAVERICK MEDICAL TRANSPORT LLC

Location Address6820 LESLIE LEWIS RDMullins, SC 29574-5897

Mailing Address4690 J H Martin RdGalivants Ferry, SC 29544-6568 · (843) 902-7582

Phone(843) 902-7582

Organization SubpartNo

Authorized OfficialKenneth Carl StaplesCom · (843) 902-7582

Enumeration DateJuly 23, 2024

NPPES CertifiedJuly 23, 2024

✔ NPI 1144058934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

6820 LESLIE LEWIS RD, Mullins, SC 29574

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Other Names 1

Doing Business AsMaverick Medical Transport

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2304862

Maverick Medical Transport LLC · Mullins, SC

Active · expires May 20, 2028

CLIA Number42D2304862

Laboratory TypeAmbulance

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorKenneth C. Staples

Laboratory Phone(843) 902-7582

Laboratory LocationMaverick Medical Transport LLC6820 Leslie Lewis Road, Mullins, SC 29574

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

1,127 services31 patients

Ambulance service, basic life support, non-emergency transport, (bls) A0428

Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.

31 services28 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE LINK AMBULANCE SERVICE

Ambulance (Land Transport)

6820 LESLIE LEWIS RD
MULLINS, SC 29574

Marion County (843) 902-7582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maverick Medical Transport LLC's NPI number?

The NPI number for Maverick Medical Transport LLC is 1144058934. It was assigned to this organization in the NPPES registry on July 23, 2024. The provider is doing business as Maverick Medical Transport.

Where is Maverick Medical Transport LLC located?

Maverick Medical Transport LLC is located at 6820 Leslie Lewis Rd, Mullins, SC 29574. The listed phone number is (843) 902-7582.

What is Maverick Medical Transport LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Maverick Medical Transport LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2304862) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maverick Medical Transport LLC was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.