Provider Demographics
NPI:1366819682
Name:OMEGA TRANSPORTATION CO. LL
Entity Type:Organization
Organization Name:OMEGA TRANSPORTATION CO. LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAMIR
Authorized Official - Middle Name:B
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-209-0553
Mailing Address - Street 1:PO BOX 331092
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76163-1092
Mailing Address - Country:US
Mailing Address - Phone:682-209-0553
Mailing Address - Fax:817-526-5095
Practice Address - Street 1:6012 BLACK SPRINGS LN
Practice Address - Street 2:
Practice Address - City:JOSHUA
Practice Address - State:TX
Practice Address - Zip Code:76058-6444
Practice Address - Country:US
Practice Address - Phone:682-209-0553
Practice Address - Fax:817-526-5095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)