Provider Demographics
NPI:1457166530
Name:STARLET TRANSPORTATION LLC
Entity type:Organization
Organization Name:STARLET TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:MUSSIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:TESFAMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-556-0329
Mailing Address - Street 1:4865 FOXCROFT CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4118
Mailing Address - Country:US
Mailing Address - Phone:614-556-0329
Mailing Address - Fax:
Practice Address - Street 1:4865 FOXCROFT CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4118
Practice Address - Country:US
Practice Address - Phone:614-556-0329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)Group - Multi-Specialty
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty