Provider Demographics
NPI:1104304849
Name:MIMI TAXI CAB INC
Entity type:Organization
Organization Name:MIMI TAXI CAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MISKER
Authorized Official - Middle Name:N
Authorized Official - Last Name:TEGEGN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-247-3186
Mailing Address - Street 1:7608 HULL STREET RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6402
Mailing Address - Country:US
Mailing Address - Phone:804-247-3186
Mailing Address - Fax:804-320-3190
Practice Address - Street 1:7608 HULL STREET RD
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6402
Practice Address - Country:US
Practice Address - Phone:804-247-3186
Practice Address - Fax:804-320-3190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi