Provider Demographics
NPI:1427511914
Name:TRANZ TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:TRANZ TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:AKAROLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-398-9880
Mailing Address - Street 1:14706 TURNER WOOTTON PKWY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-8715
Mailing Address - Country:US
Mailing Address - Phone:240-398-9880
Mailing Address - Fax:240-554-1412
Practice Address - Street 1:14706 TURNER WOOTTON PKWY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-8715
Practice Address - Country:US
Practice Address - Phone:240-398-9880
Practice Address - Fax:240-554-1412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA-264-428-067-618OtherDRIVER'S LICENSE