Provider Demographics
NPI:1033863568
Name:MARITIME TRADING LLC
Entity Type:Organization
Organization Name:MARITIME TRADING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FARAHDIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-912-9385
Mailing Address - Street 1:1607 CANYON TERRACE CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5116
Mailing Address - Country:US
Mailing Address - Phone:281-912-9385
Mailing Address - Fax:
Practice Address - Street 1:1607 CANYON TERRACE CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5116
Practice Address - Country:US
Practice Address - Phone:281-912-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory