Organization
STAR TAXI TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL J GOODDINE (PRESIDENT)
(804) 526-2711
Entity
Organization
Contact information
Practice address
34 PICKWICK AVE, COLONIAL HEIGHTS, VA 23834-3455
(804) 526-2711
Mailing address
34 PICKWICK AVE, COLONIAL HEIGHTS, VA 23834-3455
(804) 526-2711
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
20121738
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
343900000X
—
VA
05
—
344600000X
—
VA
Enumeration date
06/10/2013
Last updated
06/10/2013
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