Healthcare Provider Details

I. General information

NPI: 1992633648
Provider Name (Legal Business Name): PAYLESS TAXI & SHUTTLE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 LASSITER ST
RIVERDALE GA
30274-2417
US

IV. Provider business mailing address

630 LASSITER ST
RIVERDALE GA
30274-2417
US

V. Phone/Fax

Practice location:
  • Phone: 770-909-3008
  • Fax: 770-909-3008
Mailing address:
  • Phone: 770-909-3008
  • Fax: 770-909-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: DORINE ANTOINETTE LASTRAPE
Title or Position: CEO
Credential:
Phone: 770-603-5557