Provider Demographics
NPI:1124487582
Name:SMART START TRANSPORTATION INC
Entity type:Organization
Organization Name:SMART START TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:REDONIA
Authorized Official - Middle Name:LATREASE
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-354-7296
Mailing Address - Street 1:2711 E 93RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-4110
Mailing Address - Country:US
Mailing Address - Phone:773-354-7296
Mailing Address - Fax:872-666-5225
Practice Address - Street 1:2711 E 93RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-4110
Practice Address - Country:US
Practice Address - Phone:773-354-7296
Practice Address - Fax:872-666-5225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-14
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)