Provider Demographics
NPI:1669758553
Name:TRANSPORTATION DIRECT LLC.
Entity type:Organization
Organization Name:TRANSPORTATION DIRECT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JABER
Authorized Official - Middle Name:
Authorized Official - Last Name:ALKARAWY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-801-4444
Mailing Address - Street 1:5647 N HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3249
Mailing Address - Country:US
Mailing Address - Phone:313-801-4444
Mailing Address - Fax:313-429-3325
Practice Address - Street 1:6822 KINGSBURY ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2121
Practice Address - Country:US
Practice Address - Phone:313-801-4444
Practice Address - Fax:313-429-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2745343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)