=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760160345
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZINA TRANSPORTATION SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2023
-----------------------------------------------------
Last Update Date | 07/05/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5707 SEMINARY RD STE 303
-----------------------------------------------------
City | FALLS CHURCH
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22041-3066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-981-9121
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14649 BAKERSFIELD ST
-----------------------------------------------------
City | WOODBRIDGE
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22193-2005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-314-9936
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MOHAMED ELSAYADI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 703-981-9121
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 347E00000X
-----------------------------------------------------
Taxonomy Name | Transportation Broker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------