Provider Demographics
NPI:1558191775
Name:TRACSAFE MED TRANSPORT
Entity type:Organization
Organization Name:TRACSAFE MED TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-933-9095
Mailing Address - Street 1:5475 BUFORD HWY STE C
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-3987
Mailing Address - Country:US
Mailing Address - Phone:678-933-9095
Mailing Address - Fax:
Practice Address - Street 1:11120 SPRING POINT CIR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-4309
Practice Address - Country:US
Practice Address - Phone:312-232-0072
Practice Address - Fax:678-278-1273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No342000000XTransportation ServicesTransportation Network Company