Provider Demographics
NPI:1598519282
Name:CDB TRANSPORT LLC
Entity Type:Organization
Organization Name:CDB TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-289-3887
Mailing Address - Street 1:4014 MEDINA RD # 1134
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4568
Mailing Address - Country:US
Mailing Address - Phone:234-281-4909
Mailing Address - Fax:
Practice Address - Street 1:1720 MERRIMAN RD UNIT J
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-5280
Practice Address - Country:US
Practice Address - Phone:234-281-4909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle