Provider Demographics
NPI:1023711843
Name:EIGHTWAY CORP
Entity type:Organization
Organization Name:EIGHTWAY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:PADRO LABIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-241-2261
Mailing Address - Street 1:1925 N LINDSAY RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-3011
Mailing Address - Country:US
Mailing Address - Phone:480-241-2261
Mailing Address - Fax:480-323-2049
Practice Address - Street 1:1925 N LINDSAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-3011
Practice Address - Country:US
Practice Address - Phone:480-241-2261
Practice Address - Fax:480-323-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)