Provider Demographics
NPI:1922263367
Name:SMI TRANSPORTATION SERVICE INC.
Entity Type:Organization
Organization Name:SMI TRANSPORTATION SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MAHMOOD
Authorized Official - Last Name:IFTIKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-926-2224
Mailing Address - Street 1:15108 QUIETSTREAM LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5332
Mailing Address - Country:US
Mailing Address - Phone:909-463-9562
Mailing Address - Fax:909-463-9850
Practice Address - Street 1:15108 QUIETSTREAM LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92336-5332
Practice Address - Country:US
Practice Address - Phone:909-463-9562
Practice Address - Fax:909-463-9850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)