Provider Demographics
NPI:1093848517
Name:FADEK TRANSPORTATION INCORPORATED
Entity Type:Organization
Organization Name:FADEK TRANSPORTATION INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TOYIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADERINTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:240-393-3570
Mailing Address - Street 1:9127 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2736
Mailing Address - Country:US
Mailing Address - Phone:240-393-3570
Mailing Address - Fax:301-577-8417
Practice Address - Street 1:1013 17TH PL NE APT 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7600
Practice Address - Country:US
Practice Address - Phone:240-393-3570
Practice Address - Fax:301-577-8417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCWMATC#830343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)