Provider Demographics
NPI:1952098543
Name:STAR MED TRANS LLC
Entity Type:Organization
Organization Name:STAR MED TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BABIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-303-3964
Mailing Address - Street 1:3030 N 7TH ST APT 215
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-5417
Mailing Address - Country:US
Mailing Address - Phone:517-303-3964
Mailing Address - Fax:
Practice Address - Street 1:3030 N 7TH ST APT 215
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-5417
Practice Address - Country:US
Practice Address - Phone:517-303-3964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)