Provider Demographics
NPI:1083152649
Name:GILLINGS TRANS
Entity Type:Organization
Organization Name:GILLINGS TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:LORENZO
Authorized Official - Last Name:GILLINGS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:248-252-4473
Mailing Address - Street 1:28570 TAVISTOCK TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-5186
Mailing Address - Country:US
Mailing Address - Phone:248-252-4473
Mailing Address - Fax:248-809-2550
Practice Address - Street 1:28570 TAVISTOCK TRL
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-5186
Practice Address - Country:US
Practice Address - Phone:248-252-4473
Practice Address - Fax:248-809-2550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)