Provider Demographics
NPI:1710570700
Name:METRO KING TRANSPORTATION LLC
Entity Type:Organization
Organization Name:METRO KING TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GIRMAY
Authorized Official - Last Name:GEBRETINSAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-484-2259
Mailing Address - Street 1:16012 LOST CROP DR
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-0047
Mailing Address - Country:US
Mailing Address - Phone:804-484-2259
Mailing Address - Fax:804-818-5882
Practice Address - Street 1:16012 LOST CROP DR
Practice Address - Street 2:
Practice Address - City:MOSELEY
Practice Address - State:VA
Practice Address - Zip Code:23120-0047
Practice Address - Country:US
Practice Address - Phone:804-484-2259
Practice Address - Fax:804-818-5882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)