Provider Demographics
NPI:1952112997
Name:ALLSTAR TRANSPORT LLC
Entity type:Organization
Organization Name:ALLSTAR TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FATU
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-380-8406
Mailing Address - Street 1:303 MARSHALLS VENTURE CT
Mailing Address - Street 2:
Mailing Address - City:ACCOKEEK
Mailing Address - State:MD
Mailing Address - Zip Code:20607-3347
Mailing Address - Country:US
Mailing Address - Phone:240-380-8406
Mailing Address - Fax:703-997-5971
Practice Address - Street 1:7630 LITTLE RIVER TPKE STE 720
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2610
Practice Address - Country:US
Practice Address - Phone:240-380-8406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)