Provider Demographics
NPI:1184032310
Name:DAYSTAR TRANSPORTATION L.L.C.
Entity Type:Organization
Organization Name:DAYSTAR TRANSPORTATION L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:937-583-5159
Mailing Address - Street 1:8194 SHIELDS ROAD
Mailing Address - Street 2:
Mailing Address - City:LEWISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45338
Mailing Address - Country:US
Mailing Address - Phone:937-583-5159
Mailing Address - Fax:937-583-9021
Practice Address - Street 1:8194 SHIELDS ROAD
Practice Address - Street 2:
Practice Address - City:LEWISBURG
Practice Address - State:OH
Practice Address - Zip Code:45338
Practice Address - Country:US
Practice Address - Phone:937-583-5159
Practice Address - Fax:937-583-9021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)