Provider Demographics
NPI:1043445034
Name:DOMINION EXPRESS LLC
Entity Type:Organization
Organization Name:DOMINION EXPRESS LLC
Other - Org Name:DOMINION EXPRESS COURIERS&MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUBASHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-402-4694
Mailing Address - Street 1:5628 BELSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7113
Mailing Address - Country:US
Mailing Address - Phone:804-402-4694
Mailing Address - Fax:804-364-3899
Practice Address - Street 1:5628 BELSTEAD LN
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059-7113
Practice Address - Country:US
Practice Address - Phone:804-402-4694
Practice Address - Fax:804-364-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAT63-68-1679343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)