1. Home
  2. Directory
  3. Georgia
  4. Dallas
  5. Ambulance
  6. NPI Profile

LUKE MEDICAL TRANSPORT LLC
NPI 1295376838
Ambulance - Land Transport in Dallas, GA

Active since October 04, 2019CLIA 11D2300244 · Waiver
260 INTERNATIONAL PKWY STE 132, DALLAS, GA 30157(765) 265-5361(678) 567-7922 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2020, Oct 4, 2019 (2 updates tracked since 2019).

About Luke Medical Transport Llc NPPES

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

LUKE MEDICAL TRANSPORT LLC (NPI 1295376838) is a healthcare organization registered as a land transport in Dallas, Georgia and active in the NPI registry since October 2019. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Vance Andre Raham, Partner, as its authorized official.

NPPES Registry Identity

NPI1295376838
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLUKE MEDICAL TRANSPORT LLC
Location Address260 INTERNATIONAL PKWY STE 132Dallas, GA 30157-5706
Mailing Address750 Mimms Ct NwMarietta, GA 30064-6227 · (765) 265-5361 · Fax (678) 567-7922
Phone(765) 265-5361
Fax(678) 567-7922
Organization SubpartNo
Authorized OfficialVance Andre RahamPartner · (765) 265-5361
Enumeration DateOctober 4, 2019
Last NPPES UpdateMarch 27, 20202 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1295376838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
260 INTERNATIONAL PKWY STE 132, Dallas, GA 30157
Open in Google Maps ↗

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 11D2300244

Luke Medical Transport · Dallas, GA
Active · expires Mar 5, 2028
CLIA Number11D2300244
Laboratory TypeAmbulance
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorTimothy E. Holt
Laboratory Phone(404) 242-5497
Laboratory LocationLuke Medical Transport260 International Parkway, Suite 130, Dallas, GA 30157
CLIA data matches this NPI record on: Name
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.
11,592 services1,229 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.
1,438 services1,229 patients

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 Luke Medical Transport LLC's NPI number?

The NPI number for Luke Medical Transport LLC is 1295376838. It was assigned to this organization in the NPPES registry on October 4, 2019.

Where is Luke Medical Transport LLC located?

Luke Medical Transport LLC is located at 260 International Pkwy Ste 132, Dallas, GA 30157. The listed phone number is (765) 265-5361.

What is Luke Medical Transport LLC's specialty?

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

Does Luke Medical Transport LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2300244) is associated with this NPI, valid through March 5, 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 Luke Medical Transport LLC was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.