Provider Demographics
NPI:1902289705
Name:MEDEXPRESS TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:MEDEXPRESS TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDISALAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-214-3182
Mailing Address - Street 1:3454 AOK ALLE CT
Mailing Address - Street 2:SUITE 500
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606
Mailing Address - Country:US
Mailing Address - Phone:419-214-3182
Mailing Address - Fax:419-469-8901
Practice Address - Street 1:3454 OAK ALLEY CT
Practice Address - Street 2:SUITE 500
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1306
Practice Address - Country:US
Practice Address - Phone:419-214-3182
Practice Address - Fax:419-469-8901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)