MEDICARE: XPEDIA TRANSPORTATION

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	344600000X	Taxi

General Provider Information

NPI Number	:	1386351245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XPEDIA TRANSPORTATION

Provider Business Mailing Address
First Line	:	12304 HAYDON PL
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-3650
Country	:	US
Telephone Number	:	804-278-7921
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 HULL ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-3615
Country	:	US
Telephone Number	:	804-231-9344
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MS. SHENIQUA JOHNSON
Credential	:	LPC
Telephone Number	:	804-278-7921

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	11/01/2022

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Directions to “XPEDIA TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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