Provider Demographics
NPI:1235816976
Name:AT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SORETI
Authorized Official - Middle Name:AMENU
Authorized Official - Last Name:TIYITI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-393-6721
Mailing Address - Street 1:1008 TANLEY RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2156
Mailing Address - Country:US
Mailing Address - Phone:240-393-6721
Mailing Address - Fax:
Practice Address - Street 1:1008 TANLEY RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2156
Practice Address - Country:US
Practice Address - Phone:240-393-6721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker