Provider Demographics
NPI:1255678397
Name:LABOSS TRANSPORTATION SERVICES, INC
Entity Type:Organization
Organization Name:LABOSS TRANSPORTATION SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:LABOSSIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-828-0605
Mailing Address - Street 1:5191 NW 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351-8003
Mailing Address - Country:US
Mailing Address - Phone:954-828-0605
Mailing Address - Fax:
Practice Address - Street 1:5191 NW 109TH AVE
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-8003
Practice Address - Country:US
Practice Address - Phone:954-828-0605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)