Provider Demographics
NPI:1093325912
Name:TANGO CAR, LLC
Entity Type:Organization
Organization Name:TANGO CAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE MARIGNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-303-3395
Mailing Address - Street 1:1401 HELM DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3805
Mailing Address - Country:US
Mailing Address - Phone:702-303-3395
Mailing Address - Fax:
Practice Address - Street 1:1401 HELM DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3805
Practice Address - Country:US
Practice Address - Phone:702-303-3395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)