Provider Demographics
NPI:1063933349
Name:PRIORITY ROUNDS TRANSPORT, L.L.C
Entity type:Organization
Organization Name:PRIORITY ROUNDS TRANSPORT, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAKABI
Authorized Official - Middle Name:
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BSN RN
Authorized Official - Phone:866-744-5986
Mailing Address - Street 1:16155 SIERRA LAKES PKWY STE 160-508
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-1244
Mailing Address - Country:US
Mailing Address - Phone:866-744-5986
Mailing Address - Fax:866-744-5986
Practice Address - Street 1:18245 EVENING PRIMROSE LN
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407
Practice Address - Country:US
Practice Address - Phone:909-754-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)