Provider Demographics
NPI:1114465606
Name:METRO TAXI LLC
Entity Type:Organization
Organization Name:METRO TAXI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GIRMAY
Authorized Official - Last Name:GEBRETINSAE
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:804-484-2259
Mailing Address - Street 1:10824 TUTELO CT
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-8033
Mailing Address - Country:US
Mailing Address - Phone:804-484-2259
Mailing Address - Fax:804-709-1747
Practice Address - Street 1:2809 HILLIARD RD APT D
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-4453
Practice Address - Country:US
Practice Address - Phone:804-484-2259
Practice Address - Fax:804-709-1747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA=========OtherTRANSPORTATION