Provider Demographics
NPI:1871144170
Name:ALL STAR TAXI & TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:ALL STAR TAXI & TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:M
Authorized Official - Last Name:IDRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-345-8200
Mailing Address - Street 1:371 OUTWATER RIDGE DR # R
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6244
Mailing Address - Country:US
Mailing Address - Phone:919-345-8200
Mailing Address - Fax:
Practice Address - Street 1:371 OUTWATER RIDGE DR # R
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-6244
Practice Address - Country:US
Practice Address - Phone:919-345-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)