Provider Demographics
NPI:1548927668
Name:MEDICX TRANS LLC
Entity type:Organization
Organization Name:MEDICX TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICIAL REP
Authorized Official - Phone:919-637-0546
Mailing Address - Street 1:PO BOX 661
Mailing Address - Street 2:
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-0012
Mailing Address - Country:US
Mailing Address - Phone:563-551-3143
Mailing Address - Fax:563-551-2733
Practice Address - Street 1:3525 N WILLOW CT APT 3
Practice Address - Street 2:
Practice Address - City:BETTENDORF
Practice Address - State:IA
Practice Address - Zip Code:52722-2892
Practice Address - Country:US
Practice Address - Phone:563-551-3143
Practice Address - Fax:563-551-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)