MEDICARE: VALLEY CAB COMPANY LLC

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	347C00000X	Private Vehicle	4ZG557	AZ
2	344600000X	Taxi	4ZG557	AZ

General Provider Information

NPI Number	:	1487964276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY CAB COMPANY LLC

Provider Business Mailing Address
First Line	:	6320 E THOMAS RD
Second Line	:	SUITE 308
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7077
Country	:	US
Telephone Number	:	480-635-0911
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 E THOMAS RD
Second Line	:	SUITE 308
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7077
Country	:	US
Telephone Number	:	480-635-0911
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. SAAID NEJAT
Credential	:
Telephone Number	:	480-529-9111

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	10/15/2010

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Directions to “VALLEY CAB COMPANY LLC ” Practice Location

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