Provider Demographics
NPI:1821311630
Name:AITHERAS AVIATION GROUP LLC
Entity Type:Organization
Organization Name:AITHERAS AVIATION GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KATSIKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-298-9060
Mailing Address - Street 1:1601 N MARGINAL RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-3739
Mailing Address - Country:US
Mailing Address - Phone:216-298-9060
Mailing Address - Fax:216-298-9068
Practice Address - Street 1:1601 N MARGINAL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3739
Practice Address - Country:US
Practice Address - Phone:216-298-9060
Practice Address - Fax:216-298-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1841133416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport