Provider Demographics
NPI:1619396314
Name:RHODIUM TIER GROUP LLC
Entity Type:Organization
Organization Name:RHODIUM TIER GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DUARD
Authorized Official - Middle Name:CORNELIOUS
Authorized Official - Last Name:HURSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-477-0452
Mailing Address - Street 1:40 MASSACHUSETTS ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-3537
Mailing Address - Country:US
Mailing Address - Phone:313-477-0452
Mailing Address - Fax:
Practice Address - Street 1:40 MASSACHUSETTS ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3537
Practice Address - Country:US
Practice Address - Phone:313-477-0452
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIE2765Q343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)