Provider Demographics
NPI:1932569217
Name:MIV TRANSPORTATION
Entity Type:Organization
Organization Name:MIV TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAVINA
Authorized Official - Middle Name:ROCHELLE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-761-7922
Mailing Address - Street 1:430 NEWBRIDGE TER
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-9114
Mailing Address - Country:US
Mailing Address - Phone:804-761-7922
Mailing Address - Fax:
Practice Address - Street 1:430 NEWBRIDGE TER
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-9114
Practice Address - Country:US
Practice Address - Phone:804-761-7922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi