MEDPORT LOGISTICS LLC
NPI 1891684726
Ambulance - Land Transport in Gainesville, GA

Active since July 03, 2025CLIA 11D2322530 · Waiver
301 GREEN ST NW STE 200R, GAINESVILLE, GA 30501(404) 620-1500 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medport Logistics Llc NPPES

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

MEDPORT LOGISTICS LLC (NPI 1891684726) is a healthcare organization registered as a land transport in Gainesville, Georgia and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Jeremy Shane Lord, Owner, as its authorized official.

NPPES Registry Identity

NPI1891684726
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMEDPORT LOGISTICS LLC
Location Address301 GREEN ST NW STE 200RGainesville, GA 30501-3360
Mailing AddressPo Box 1513Gainesville, GA 30503-1513
Organization SubpartNo
Authorized OfficialJeremy Shane LordOwner · (706) 338-5881
Enumeration DateJuly 3, 2025
Last NPPES UpdateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1891684726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
301 GREEN ST NW STE 200R, Gainesville, GA 30501

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 11D2322530

Medport Logistics LLC · Gainesville, GA
Active · expires Apr 22, 2027
CLIA Number11D2322530
Laboratory TypeAmbulance
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorJeremy Lord
Laboratory Phone(404) 620-1500
Laboratory LocationMedport Logistics LLC301 Green Street, NW, Suite 200R, Gainesville, GA 30501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medport Logistics LLC's NPI number?

The NPI number for Medport Logistics LLC is 1891684726. It was assigned to this organization in the NPPES registry on July 3, 2025.

Where is Medport Logistics LLC located?

Medport Logistics LLC is located at 301 Green St NW Ste 200R, Gainesville, GA 30501. The listed phone number is (404) 620-1500.

What is Medport Logistics LLC's specialty?

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

Does Medport Logistics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2322530) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medport Logistics LLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.