Provider Demographics
NPI:1619753365
Name:UNIVERSAL ITECH TRANSPORTAION LLC
Entity Type:Organization
Organization Name:UNIVERSAL ITECH TRANSPORTAION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TARILA
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:AMAJENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-379-8876
Mailing Address - Street 1:8113 HICKORY HOLLOW DR.
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060
Mailing Address - Country:US
Mailing Address - Phone:703-930-2298
Mailing Address - Fax:
Practice Address - Street 1:11166 FAIRFAX BLVD
Practice Address - Street 2:SUITE 500 #1040
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-930-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347B00000XTransportation ServicesBus
No347C00000XTransportation ServicesPrivate Vehicle