Provider Demographics
NPI:1265185144
Name:PRIM LOGISTICS ENTERPRISE, LLC
Entity type:Organization
Organization Name:PRIM LOGISTICS ENTERPRISE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STAFF
Authorized Official - Prefix:MS
Authorized Official - First Name:IVORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-532-4919
Mailing Address - Street 1:25000 EUCLID AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2645
Mailing Address - Country:US
Mailing Address - Phone:440-720-4434
Mailing Address - Fax:937-306-5240
Practice Address - Street 1:25000 EUCLID AVE STE 401
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2645
Practice Address - Country:US
Practice Address - Phone:440-720-4434
Practice Address - Fax:937-306-5240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company