Provider Demographics
NPI:1124726682
Name:STANDARD TECH LLC
Entity type:Organization
Organization Name:STANDARD TECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-497-8155
Mailing Address - Street 1:1931 NW 150TH AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33028-2882
Mailing Address - Country:US
Mailing Address - Phone:954-497-8155
Mailing Address - Fax:
Practice Address - Street 1:1931 NW 150TH AVE STE 240
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-2882
Practice Address - Country:US
Practice Address - Phone:954-497-8155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)