Provider Demographics
NPI:1881308724
Name:FMAT LIMITED COMPANY
Entity type:Organization
Organization Name:FMAT LIMITED COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOPILEOLA TOMI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEWUMI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-465-1633
Mailing Address - Street 1:1022 ZORA DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-8691
Mailing Address - Country:US
Mailing Address - Phone:646-465-1633
Mailing Address - Fax:
Practice Address - Street 1:1022 ZORA DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-8691
Practice Address - Country:US
Practice Address - Phone:646-465-1633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker