Provider Demographics
NPI:1043891740
Name:DAYTON EXPRESS CAB COM
Entity Type:Organization
Organization Name:DAYTON EXPRESS CAB COM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNEE
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:WELI
Authorized Official - Last Name:ABAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-266-1732
Mailing Address - Street 1:7460 ELIN CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-1101
Mailing Address - Country:US
Mailing Address - Phone:937-266-1732
Mailing Address - Fax:937-226-9971
Practice Address - Street 1:300 KISER ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1794
Practice Address - Country:US
Practice Address - Phone:937-226-9999
Practice Address - Fax:937-226-9971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)