Provider Demographics
NPI:1346601945
Name:ADMINISTRATIVE SERVICES SD, LLC
Entity Type:Organization
Organization Name:ADMINISTRATIVE SERVICES SD, LLC
Other - Org Name:YELLOW RADIO SERVICE, YELLOW CAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:GERATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-398-2314
Mailing Address - Street 1:3473 KURTZ ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4430
Mailing Address - Country:US
Mailing Address - Phone:619-398-2314
Mailing Address - Fax:
Practice Address - Street 1:3473 KURTZ ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4430
Practice Address - Country:US
Practice Address - Phone:619-398-2314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi