Priority Transportation LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L10323 Issued in MI

Legal business name

PRIORITY TRANSPORTATION LLC

Practice address

14820 Lakeside Blvd N
Shelby Township, MI 48315-6099

Phone

(313) 595-9873

NPI assigned

Nov 24, 2014

Last updated

Nov 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Trevis Anderson Sr.

Title

Owner

Phone

(313) 595-9873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1588061386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14820 LAKESIDE BLVD N",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14820 LAKESIDE BLVD N",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156099",
            "telephone_number": "313-595-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TREVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-595-9873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "L10323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.