Provider Demographics
NPI:1932649365
Name:EXPRESS DELIVERY LLC
Entity Type:Organization
Organization Name:EXPRESS DELIVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:ALAA
Authorized Official - Last Name:HASHIM
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:614-598-9011
Mailing Address - Street 1:5810 LOGANWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-3417
Mailing Address - Country:US
Mailing Address - Phone:614-598-9011
Mailing Address - Fax:
Practice Address - Street 1:5810 LOGANWOOD RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3417
Practice Address - Country:US
Practice Address - Phone:614-598-9011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0191283Medicaid