Healthcare Provider Details

I. General information

NPI: 1093848517
Provider Name (Legal Business Name): FADEK TRANSPORTATION INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 17TH PL NE APT 3
WASHINGTON DC
20002-7600
US

IV. Provider business mailing address

9127 5TH ST
LANHAM MD
20706-2736
US

V. Phone/Fax

Practice location:
  • Phone: 240-393-3570
  • Fax: 301-577-8417
Mailing address:
  • Phone: 240-393-3570
  • Fax: 301-577-8417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberWMATC#830
License Number StateDC

VIII. Authorized Official

Name: MS. TOYIN A ADERINTO
Title or Position: EXECUTIVE DIRECTOR
Credential: M.D
Phone: 240-393-3570