Organization
SPARKSTER LLC
Active
Other names
SPARKSTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MOTASSIM SORKATY (OWNER)
(515) 575-7975
Entity
Organization
Contact information
Practice address
5453 RED BIRD CT, COLUMBUS, OH 43232-2844
(614) 391-5496
Mailing address
5453 RED BIRD CT, COLUMBUS, OH 43232-2844
(614) 391-5496
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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