Provider Demographics
NPI:1376004978
Name:DAYTON FAST CAB
Entity Type:Organization
Organization Name:DAYTON FAST CAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAWSHDEH
Authorized Official - Suffix:
Authorized Official - Credentials:BUSINESS OWNER
Authorized Official - Phone:937-346-4644
Mailing Address - Street 1:2073 LEIS RD
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-6705
Mailing Address - Country:US
Mailing Address - Phone:937-346-4644
Mailing Address - Fax:
Practice Address - Street 1:2073 LEIS RD
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-6705
Practice Address - Country:US
Practice Address - Phone:937-346-4644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)