Provider Demographics
NPI:1184215287
Name:SAMI TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SAMI TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATAR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BELETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-224-7648
Mailing Address - Street 1:307 KARL LINN DR APT 325
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-6976
Mailing Address - Country:US
Mailing Address - Phone:571-224-7648
Mailing Address - Fax:
Practice Address - Street 1:307 KARL LINN DR APT 325
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-6976
Practice Address - Country:US
Practice Address - Phone:571-224-7648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)