Provider Demographics
NPI:1396498390
Name:SAMRA TRANSPORTATION LLC
Entity type:Organization
Organization Name:SAMRA TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ABUSAMRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-562-5825
Mailing Address - Street 1:8603 PELLINGTON PL
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4824
Mailing Address - Country:US
Mailing Address - Phone:180-456-2582
Mailing Address - Fax:
Practice Address - Street 1:8603 PELLINGTON PL
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23294-4824
Practice Address - Country:US
Practice Address - Phone:180-456-2582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)