MEDICARE: PAYLESS TAXI & SHUTTLE SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi

General Provider Information

NPI Number	:	1992633648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAYLESS TAXI & SHUTTLE SERVICES INC.

Provider Business Mailing Address
First Line	:	630 LASSITER ST
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2417
Country	:	US
Telephone Number	:	770-909-3008
Fax Number	:	770-909-3008

Provider Business Practice Location Address
First Line	:	630 LASSITER ST
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2417
Country	:	US
Telephone Number	:	770-909-3008
Fax Number	:	770-909-3008

Authorized Official
Title or Position	:	CEO
Name	:	DORINE ANTOINETTE LASTRAPE
Credential	:
Telephone Number	:	770-603-5557

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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