Provider Demographics
NPI:1083283725
Name:SS METRO ENTERPRISES LLC
Entity Type:Organization
Organization Name:SS METRO ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SUBHAN
Authorized Official - Middle Name:ULHAQUE
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-915-7475
Mailing Address - Street 1:441 WHITEHORSE RD
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-9725
Mailing Address - Country:US
Mailing Address - Phone:704-915-7475
Mailing Address - Fax:704-685-3052
Practice Address - Street 1:1104 E OZARK AVE
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3261
Practice Address - Country:US
Practice Address - Phone:704-915-7475
Practice Address - Fax:704-852-4173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)