Provider Demographics
NPI:1902536519
Name:ON THE GO MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ON THE GO MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-320-4979
Mailing Address - Street 1:18627 OLD TRIANGLE RD UNIT 544
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-8026
Mailing Address - Country:US
Mailing Address - Phone:571-320-4979
Mailing Address - Fax:
Practice Address - Street 1:8513 REFORMATORY WAY
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-5263
Practice Address - Country:US
Practice Address - Phone:571-320-4979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker