Provider Demographics
NPI:1295391514
Name:ALLIED BLACK CAR SERVICE LLC
Entity Type:Organization
Organization Name:ALLIED BLACK CAR SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANEGER
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ONIEL
Authorized Official - Last Name:RODRIGUEZ TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-594-7566
Mailing Address - Street 1:2825 3RD AVE # G8
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-4066
Mailing Address - Country:US
Mailing Address - Phone:929-594-7566
Mailing Address - Fax:929-999-0594
Practice Address - Street 1:2825 3RD AVE # G8
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-4066
Practice Address - Country:US
Practice Address - Phone:929-594-7566
Practice Address - Fax:929-999-0594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi