Provider Demographics
NPI:1982374245
Name:PRIME COURIER LOGISTICS LLC
Entity type:Organization
Organization Name:PRIME COURIER LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TUULI
Authorized Official - Middle Name:
Authorized Official - Last Name:ST CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-686-1430
Mailing Address - Street 1:1416 SHADFORD RD APT 2
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-4491
Mailing Address - Country:US
Mailing Address - Phone:734-686-1430
Mailing Address - Fax:
Practice Address - Street 1:1416 SHADFORD RD APT 2
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-4491
Practice Address - Country:US
Practice Address - Phone:734-686-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle