Provider Demographics
NPI:1508319708
Name:CITYCARS21
Entity Type:Organization
Organization Name:CITYCARS21
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LUQMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALJANABI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-633-6211
Mailing Address - Street 1:6438 PAYNE AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2048
Mailing Address - Country:US
Mailing Address - Phone:313-633-6211
Mailing Address - Fax:313-447-0514
Practice Address - Street 1:13112 W WARREN AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2000
Practice Address - Country:US
Practice Address - Phone:313-485-1230
Practice Address - Fax:313-447-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL10023343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)