Provider Demographics
NPI:1851850077
Name:COLUMBUS UNITED CAB LLC
Entity Type:Organization
Organization Name:COLUMBUS UNITED CAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:THEODROS
Authorized Official - Middle Name:
Authorized Official - Last Name:BEZABEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-638-3068
Mailing Address - Street 1:PO BOX 360551
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43236-0551
Mailing Address - Country:US
Mailing Address - Phone:614-449-9999
Mailing Address - Fax:
Practice Address - Street 1:261 W JOHNSTOWN RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2796
Practice Address - Country:US
Practice Address - Phone:614-449-9999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-18
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi