Provider Demographics
NPI:1831672765
Name:INDEPENDENT RADIO TAXI, INC.
Entity Type:Organization
Organization Name:INDEPENDENT RADIO TAXI, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-746-8844
Mailing Address - Street 1:PO BOX 1134
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44501-1134
Mailing Address - Country:US
Mailing Address - Phone:330-746-8844
Mailing Address - Fax:330-746-5653
Practice Address - Street 1:308 1/2 W FEDERAL ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44503-1118
Practice Address - Country:US
Practice Address - Phone:330-746-8844
Practice Address - Fax:330-746-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi