Provider Demographics
NPI:1356186266
Name:MITRESONZ UNLIMITED LLC
Entity type:Organization
Organization Name:MITRESONZ UNLIMITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEEBA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-800-0293
Mailing Address - Street 1:1529 FAIRCHILD ST.
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70807-4916
Mailing Address - Country:US
Mailing Address - Phone:888-800-0293
Mailing Address - Fax:
Practice Address - Street 1:1529 FAIRCHILD ST.
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70807-4916
Practice Address - Country:US
Practice Address - Phone:888-800-0293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No3416L0300XTransportation ServicesAmbulanceLand Transport