Provider Demographics
NPI:1114367331
Name:ABSOLUTE TRANSPORTATION COMPANY
Entity Type:Organization
Organization Name:ABSOLUTE TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-408-9387
Mailing Address - Street 1:23205 GRATIOT AVE
Mailing Address - Street 2:SUITE 354
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1641
Mailing Address - Country:US
Mailing Address - Phone:313-408-9387
Mailing Address - Fax:
Practice Address - Street 1:15311 EASTBURN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1366
Practice Address - Country:US
Practice Address - Phone:313-408-9387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)