Provider Demographics
NPI:1023801719
Name:PANDA SQUAD TRANSPORTATION LLC
Entity type:Organization
Organization Name:PANDA SQUAD TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:DEGLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:567-330-2067
Mailing Address - Street 1:2614 KENWOOD BLVD LOWR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3603
Mailing Address - Country:US
Mailing Address - Phone:567-330-2067
Mailing Address - Fax:
Practice Address - Street 1:2614 KENWOOD BLVD LOWR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3603
Practice Address - Country:US
Practice Address - Phone:567-330-2067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi