Provider Demographics
NPI:1891498929
Name:VIP 1 TRANSPORT LLC
Entity type:Organization
Organization Name:VIP 1 TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FIRAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KADUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-213-2645
Mailing Address - Street 1:25565 CURRIER ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48125-1717
Mailing Address - Country:US
Mailing Address - Phone:313-213-2645
Mailing Address - Fax:
Practice Address - Street 1:211 N 1ST ST STE 200
Practice Address - Street 2:#1008
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1297
Practice Address - Country:US
Practice Address - Phone:734-991-6100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company