Provider Demographics
NPI:1972262525
Name:MARCZ TRANSPORT LLC
Entity Type:Organization
Organization Name:MARCZ TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARC DAVID
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:PALISOC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-227-8265
Mailing Address - Street 1:99-015 KALALOA ST APT 301
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99-015 KALALOA ST APT 301
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-3830
Practice Address - Country:US
Practice Address - Phone:808-227-8265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)