Provider Demographics
NPI:1891588281
Name:REED, PRESLEY RANDOLPH III
Entity type:Individual
Prefix:
First Name:PRESLEY
Middle Name:RANDOLPH
Last Name:REED
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 REED ST NE APT 640
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-1812
Mailing Address - Country:US
Mailing Address - Phone:202-631-6484
Mailing Address - Fax:
Practice Address - Street 1:2607 REED ST NE APT 640
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1812
Practice Address - Country:US
Practice Address - Phone:202-631-6484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No342000000XTransportation ServicesTransportation Network Company
No347B00000XTransportation ServicesBus