Great Lakes Transportation 1 LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GREAT LAKES TRANSPORTATION 1 LLC

Practice address

26151 Lila LN
Dearborn Heights, MI 48127-4138

Phone

(313) 808-3699

NPI assigned

Jun 22, 2013

Organization subpart

No

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

Authorized official

Name

Nazih Beydoun

Title

President

Phone

(313) 808-3699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1371859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1699114652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26151 LILA LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26151 LILA LN",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481274138",
            "telephone_number": "313-808-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES TRANSPORTATION 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-22",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "BEYDOUN",
        "authorized_official_first_name": "NAZIH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-808-3699"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.