Provider Demographics
NPI:1760689483
Name:SALT LAKE TRANSPORTATION CO., LLC
Entity Type:Organization
Organization Name:SALT LAKE TRANSPORTATION CO., LLC
Other - Org Name:MY CAR SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILL
Authorized Official - Middle Name:BROWNE
Authorized Official - Last Name:BOYNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-953-4077
Mailing Address - Street 1:136 SOUTH MAIN STREET
Mailing Address - Street 2:SUITE 721
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-1676
Mailing Address - Country:US
Mailing Address - Phone:801-949-6992
Mailing Address - Fax:801-302-3081
Practice Address - Street 1:136 SOUTH MAIN STREET
Practice Address - Street 2:SUITE 721
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-1676
Practice Address - Country:US
Practice Address - Phone:801-953-4077
Practice Address - Fax:801-328-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT347C00000X347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle