Provider Demographics
NPI:1740503374
Name:ROUTE 66 CAB INC.
Entity type:Organization
Organization Name:ROUTE 66 CAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASHIER
Authorized Official - Prefix:MR
Authorized Official - First Name:SATINDER
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:RANDHAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-681-4872
Mailing Address - Street 1:3595 EAST HWY 66
Mailing Address - Street 2:
Mailing Address - City:KINGMAN
Mailing Address - State:AZ
Mailing Address - Zip Code:86409
Mailing Address - Country:US
Mailing Address - Phone:928-681-4872
Mailing Address - Fax:877-774-3392
Practice Address - Street 1:3595 EAST HWY 66
Practice Address - Street 2:
Practice Address - City:KINGMAN
Practice Address - State:AZ
Practice Address - Zip Code:86409
Practice Address - Country:US
Practice Address - Phone:928-681-4872
Practice Address - Fax:877-774-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi