Provider Demographics
NPI:1922510403
Name:AZM LOGISTICS & TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AZM LOGISTICS & TRANSPORTATION LLC
Other - Org Name:AZM L & T , LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V. PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FOGHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-731-0524
Mailing Address - Street 1:15075 LINCOLN ST APT 1034
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-1266
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15075 LINCOLN ST APT 1034
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1266
Practice Address - Country:US
Practice Address - Phone:248-731-0524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)