Provider Demographics
NPI:1871033431
Name:STARS & STRIPES SERVICES LLC
Entity Type:Organization
Organization Name:STARS & STRIPES SERVICES LLC
Other - Org Name:PREMIER TRANSPORT SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALID
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMARELANBIA
Authorized Official - Suffix:
Authorized Official - Credentials:10/25/1977
Authorized Official - Phone:520-440-8051
Mailing Address - Street 1:2302 E SPEEDWAY BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-4732
Mailing Address - Country:US
Mailing Address - Phone:520-991-2319
Mailing Address - Fax:
Practice Address - Street 1:2302 E SPEEDWAY BLVD STE 104
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4732
Practice Address - Country:US
Practice Address - Phone:520-991-2319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-02
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)