Provider Demographics
NPI:1568162022
Name:INFINITI TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:INFINITI TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DONNELL
Authorized Official - Last Name:SNOWDEN
Authorized Official - Suffix:SR
Authorized Official - Credentials:NON MEDICAL EMERGENC
Authorized Official - Phone:404-259-2530
Mailing Address - Street 1:1575 DUREN FIELDS WAY
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3578
Mailing Address - Country:US
Mailing Address - Phone:404-259-2530
Mailing Address - Fax:
Practice Address - Street 1:1575 DUREN FIELDS WAY
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3578
Practice Address - Country:US
Practice Address - Phone:404-259-2530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-03
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)