Provider Demographics
NPI:1457172900
Name:LUKE THOMPSON
Entity type:Organization
Organization Name:LUKE THOMPSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-860-4700
Mailing Address - Street 1:515 W 38TH ST APT 8B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-0825
Mailing Address - Country:US
Mailing Address - Phone:732-860-4700
Mailing Address - Fax:
Practice Address - Street 1:515 W 38TH ST APT 8B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-0825
Practice Address - Country:US
Practice Address - Phone:732-860-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle