Provider Demographics
NPI:1134376171
Name:PRECIOUS METALS L.LC.
Entity type:Organization
Organization Name:PRECIOUS METALS L.LC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:STOREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-385-5277
Mailing Address - Street 1:PO BOX 1121
Mailing Address - Street 2:
Mailing Address - City:KODAK
Mailing Address - State:TN
Mailing Address - Zip Code:37764-7121
Mailing Address - Country:US
Mailing Address - Phone:865-397-5466
Mailing Address - Fax:865-484-0565
Practice Address - Street 1:3309 MUTTON HOLLOW RD
Practice Address - Street 2:
Practice Address - City:KODAK
Practice Address - State:TN
Practice Address - Zip Code:37764-1689
Practice Address - Country:US
Practice Address - Phone:865-397-5466
Practice Address - Fax:865-484-0565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNUSDOT 1769419343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)