Provider Demographics
NPI:1417722489
Name:MEDIQUICK TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MEDIQUICK TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FARID
Authorized Official - Middle Name:
Authorized Official - Last Name:GASIM ZADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:872-588-8822
Mailing Address - Street 1:440 STAUNTON DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5471
Mailing Address - Country:US
Mailing Address - Phone:872-588-8822
Mailing Address - Fax:872-588-8822
Practice Address - Street 1:440 STAUNTON DR
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5471
Practice Address - Country:US
Practice Address - Phone:872-588-8822
Practice Address - Fax:872-588-8822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)