Provider Demographics
NPI:1982965679
Name:MEDICAL DRIVERS LLC
Entity Type:Organization
Organization Name:MEDICAL DRIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:ABLAHAD
Authorized Official - Last Name:KASSAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-709-7338
Mailing Address - Street 1:6695 ARLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2716
Mailing Address - Country:US
Mailing Address - Phone:248-709-7338
Mailing Address - Fax:313-581-8981
Practice Address - Street 1:6695 ARLINGTON DR
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2716
Practice Address - Country:US
Practice Address - Phone:248-709-7338
Practice Address - Fax:313-581-8981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL2868343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)