Provider Demographics
NPI:1346930179
Name:DOCTORDASH LLC
Entity Type:Organization
Organization Name:DOCTORDASH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BURBAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-414-4615
Mailing Address - Street 1:1900 CADENZA LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6201
Mailing Address - Country:US
Mailing Address - Phone:919-414-4615
Mailing Address - Fax:
Practice Address - Street 1:700 EXPOSITION PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-1560
Practice Address - Country:US
Practice Address - Phone:919-390-3320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)