Provider Demographics
NPI:1164693255
Name:AAA SUPERIOR, INC.
Entity Type:Organization
Organization Name:AAA SUPERIOR, INC.
Other - Org Name:DELUXE TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:F
Authorized Official - Last Name:BURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-426-3284
Mailing Address - Street 1:1520 E BERRY ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46803-1001
Mailing Address - Country:US
Mailing Address - Phone:260-426-3284
Mailing Address - Fax:260-426-4515
Practice Address - Street 1:1520 E BERRY ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46803-1001
Practice Address - Country:US
Practice Address - Phone:260-426-3284
Practice Address - Fax:260-426-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi