Healthcare Provider Details

I. General information

NPI: 1811412224
Provider Name (Legal Business Name): SPOTLIGHT TAXI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2503 ALEXANDER AVE
RICHMOND VA
23234-2103
US

IV. Provider business mailing address

2503 ALEXANDER AVE
RICHMOND VA
23234-2103
US

V. Phone/Fax

Practice location:
  • Phone: 804-308-6868
  • Fax:
Mailing address:
  • Phone: 804-308-6868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ANTOINTE L WASHINGTON
Title or Position: CEO
Credential:
Phone: 804-308-6868