Organization Active NPI

Pro Cab LLC

  • Taxi
  • Saint Michael, MN
National Provider Identifier
1083096846
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
Legal business name
PRO CAB LLC
Practice address
903 Ridge Dr SE
Saint Michael, MN 55376-1076
Phone
(763) 464-5544
Fax
(888) 510-1203
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andru Michael StableskiNPI 1699154534
Title
Co-Owner
Phone
(763) 464-5544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Taxi 344600000X Primary

Addresses

Primary practice location

903 Ridge Dr SE
Saint Michael, MN 55376-1076

Mailing address

903 Ridge Dr SE
Saint Michael, MN 55376-1076
Phone (763) 464-5544

Other names 1

  • Pro Cab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1083096846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 RIDGE DR SE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761076",
            "telephone_number": "763-464-5544",
            "fax_number": "888-510-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RIDGE DR SE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553761076",
            "telephone_number": "763-464-5544",
            "fax_number": "888-510-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "STABLESKI",
        "authorized_official_first_name": "ANDRU",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-464-5544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pro Cab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Michael, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.