Provider Demographics
NPI:1710703236
Name:STOP BY STOP MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:STOP BY STOP MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:702-827-9894
Mailing Address - Street 1:11710 ELDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-6045
Mailing Address - Country:US
Mailing Address - Phone:702-827-9894
Mailing Address - Fax:
Practice Address - Street 1:11710 ELDRIDGE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-6045
Practice Address - Country:US
Practice Address - Phone:702-827-9894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-30
Last Update Date:2024-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle