Provider Demographics
NPI:1659076164
Name:MEDICAR LOGISTICS LLC
Entity Type:Organization
Organization Name:MEDICAR LOGISTICS LLC
Other - Org Name:MEDICAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JABARI
Authorized Official - Middle Name:LAQUEZ
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-210-2736
Mailing Address - Street 1:9306 PERIMETER LOFTS CIR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-1753
Mailing Address - Country:US
Mailing Address - Phone:404-210-2736
Mailing Address - Fax:
Practice Address - Street 1:9306 PERIMETER LOFTS CIR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-1753
Practice Address - Country:US
Practice Address - Phone:404-210-2736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company