Provider Demographics
NPI:1003776691
Name:NIA CONEYANCE LLC
Entity type:Organization
Organization Name:NIA CONEYANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:QUESER
Authorized Official - Middle Name:
Authorized Official - Last Name:DWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-452-7473
Mailing Address - Street 1:213 MIDDLETON DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-7696
Mailing Address - Country:US
Mailing Address - Phone:862-452-7473
Mailing Address - Fax:
Practice Address - Street 1:213 MIDDLETON DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27295-7696
Practice Address - Country:US
Practice Address - Phone:862-452-7473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)