Provider Demographics
NPI:1114169554
Name:QUEST LIMO EXPRESS
Entity Type:Organization
Organization Name:QUEST LIMO EXPRESS
Other - Org Name:QUEST LIMO EXPRESS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHEF OPERATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:VAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-686-0684
Mailing Address - Street 1:8907 S HARVARD BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3614
Mailing Address - Country:US
Mailing Address - Phone:310-686-0684
Mailing Address - Fax:
Practice Address - Street 1:8907 S HARVARD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3614
Practice Address - Country:US
Practice Address - Phone:310-686-0684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)