Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premium Petal LLC

Organization Specialist · NPI 1225927304

Premium Petal LLC is a Specialist in Manassas, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

13663 Van Doren Rd
Manassas, VA 20112-3804
Phone: (804) 501-9127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Specialist Taxonomy 174400000X

Record details

NPI number1225927304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khadijah Marshall — Owner · (804) 501-9127
Other names Premium Petal Medical Services
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address13663 Van Doren Rd, Manassas, VA 20112-3804

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