Provider Demographics
NPI:1427415694
Name:METRO TRANSPORTATION SERVICE INC.
Entity Type:Organization
Organization Name:METRO TRANSPORTATION SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:TEQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-487-9653
Mailing Address - Street 1:6309 ALTHORP CV
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:TN
Mailing Address - Zip Code:38002-7005
Mailing Address - Country:US
Mailing Address - Phone:901-487-9653
Mailing Address - Fax:901-829-7766
Practice Address - Street 1:6309 ALTHORP CV
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:TN
Practice Address - Zip Code:38002-7005
Practice Address - Country:US
Practice Address - Phone:901-487-9653
Practice Address - Fax:901-829-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-19
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN113003348343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)