Healthcare Provider Details

I. General information

NPI: 1669773826
Provider Name (Legal Business Name): EXPRESS CAB INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2010
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 E SOUTHERN AVE SUITE #86
TEMPE AZ
85282-5614
US

IV. Provider business mailing address

1655 E SOUTHERN AVE SUITE #86
TEMPE AZ
85282-5614
US

V. Phone/Fax

Practice location:
  • Phone: 602-696-9200
  • Fax: 187-733-2061
Mailing address:
  • Phone: 602-696-9200
  • Fax: 187-733-2061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: AWADELKARIM O RAMRAM
Title or Position: CEO
Credential:
Phone: 480-381-8382