Provider Demographics
NPI:1659112068
Name:UPTOWN MOBILITY TRANSPORTATION
Entity type:Organization
Organization Name:UPTOWN MOBILITY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-384-1005
Mailing Address - Street 1:3311 N SUTTON SQ
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4722
Mailing Address - Country:US
Mailing Address - Phone:281-384-1005
Mailing Address - Fax:
Practice Address - Street 1:3311 N SUTTON SQ
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4722
Practice Address - Country:US
Practice Address - Phone:281-384-1005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FENTOL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-03
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)