Provider Demographics
NPI:1386204576
Name:EAST COAST ELECTRONICS LLC
Entity Type:Organization
Organization Name:EAST COAST ELECTRONICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMARLO
Authorized Official - Middle Name:GERORD
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:BS SCIENCE
Authorized Official - Phone:864-729-2011
Mailing Address - Street 1:14 E BUTLER RD STE A
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2402
Mailing Address - Country:US
Mailing Address - Phone:864-729-2011
Mailing Address - Fax:864-729-2011
Practice Address - Street 1:14 E BUTLER RD STE A
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2402
Practice Address - Country:US
Practice Address - Phone:864-729-2011
Practice Address - Fax:864-729-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance