Provider Demographics
NPI:1922447655
Name:AAA TAXI LLC
Entity Type:Organization
Organization Name:AAA TAXI LLC
Other - Org Name:AAA TRANSPORT & LIMOUSINE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BANASZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-893-8294
Mailing Address - Street 1:1107 SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5618
Mailing Address - Country:US
Mailing Address - Phone:989-893-8294
Mailing Address - Fax:989-894-2315
Practice Address - Street 1:1123 SAGINAW ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5618
Practice Address - Country:US
Practice Address - Phone:989-893-8294
Practice Address - Fax:989-894-2315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-15
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi