Provider Demographics
NPI:1679306419
Name:SUPER E TRANS LLC
Entity type:Organization
Organization Name:SUPER E TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOFUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELYARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-603-1909
Mailing Address - Street 1:8401 MAYLAND DR STE S
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4648
Mailing Address - Country:US
Mailing Address - Phone:804-603-1909
Mailing Address - Fax:
Practice Address - Street 1:9201 ENGLAND DR APT D
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-4427
Practice Address - Country:US
Practice Address - Phone:804-603-1909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi