Provider Demographics
NPI:1174141568
Name:SRS LOGISTICS LLC
Entity type:Organization
Organization Name:SRS LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLAYELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-250-5123
Mailing Address - Street 1:72 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-4212
Mailing Address - Country:US
Mailing Address - Phone:857-250-5123
Mailing Address - Fax:203-502-7321
Practice Address - Street 1:72 FRENCH ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-4212
Practice Address - Country:US
Practice Address - Phone:857-250-5123
Practice Address - Fax:203-502-7321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-11
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)