Provider Demographics
NPI:1922803717
Name:DMO LLC
Entity type:Organization
Organization Name:DMO 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:K
Authorized Official - Last Name:OLABOKUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-306-8191
Mailing Address - Street 1:PO BOX 15063
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80935-5063
Mailing Address - Country:US
Mailing Address - Phone:719-306-8191
Mailing Address - Fax:
Practice Address - Street 1:2169 DELTA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-1347
Practice Address - Country:US
Practice Address - Phone:719-306-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)