Provider Demographics
NPI:1245793561
Name:SRS-PATIENT TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SRS-PATIENT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:
Authorized Official - Last Name:TANNENBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:615-467-0140
Mailing Address - Street 1:PO BOX 198813
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37219-8813
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:855-631-0206
Practice Address - Street 1:511 UNION ST STE 1800
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-1733
Practice Address - Country:US
Practice Address - Phone:615-467-0140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDERLING RENAL SERVICES-USA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)