Provider Demographics
NPI:1114622446
Name:ITRAN LOGISTICS LLC
Entity Type:Organization
Organization Name:ITRAN LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FONTAINE
Authorized Official - Middle Name:LAMARR
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-213-5225
Mailing Address - Street 1:10315 GRAND RIVER RD STE 303
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-9586
Mailing Address - Country:US
Mailing Address - Phone:269-213-5225
Mailing Address - Fax:
Practice Address - Street 1:10315 GRAND RIVER RD STE 303
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-9586
Practice Address - Country:US
Practice Address - Phone:269-213-5225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker