MEDICARE: DZ FASTLANE LLC

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1093698409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DZ FASTLANE LLC

Provider Business Mailing Address
First Line	:	576 LUDWELL PL
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-2497
Country	:	US
Telephone Number	:	347-538-6378
Fax Number	:

Provider Business Practice Location Address
First Line	:	576 LUDWELL PL
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45449-2497
Country	:	US
Telephone Number	:	347-538-6378
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ABDELAAZIZ ALI TALEB
Credential	:
Telephone Number	:	347-538-6378

Provider Enumeration Date	:	07/31/2025
Last Update Date	:	07/31/2025

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Directions to “DZ FASTLANE LLC ” Practice Location

Language	Start Address	Practice Location

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