Organization
PRIORITY TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVIS ANDERSON SR. (OWNER)
(313) 595-9873
Entity
Organization
Contact information
Practice address
14820 LAKESIDE BLVD N, SHELBY TOWNSHIP, MI 48315-6099
(313) 595-9873
Mailing address
14820 LAKESIDE BLVD N, SHELBY TOWNSHIP, MI 48315-6099
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
L10323
MI
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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