Provider Demographics
NPI:1679985469
Name:CARDINAL CAB LLC
Entity type:Organization
Organization Name:CARDINAL CAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DAUGHTREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-792-0000
Mailing Address - Street 1:212 W 8TH ST S
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-3653
Mailing Address - Country:US
Mailing Address - Phone:641-792-0000
Mailing Address - Fax:
Practice Address - Street 1:212 W 8TH ST S
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-3653
Practice Address - Country:US
Practice Address - Phone:641-792-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi