Provider Demographics
NPI:1295349223
Name:SCUBBY TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:SCUBBY TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SODIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAONIPEKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-305-6190
Mailing Address - Street 1:9850 S KIRKWOOD RD APT 1915
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2582
Mailing Address - Country:US
Mailing Address - Phone:432-305-6190
Mailing Address - Fax:
Practice Address - Street 1:9850 S KIRKWOOD RD APT 1915
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2582
Practice Address - Country:US
Practice Address - Phone:432-305-6190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle