Organization
703 EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARAZ ALI (PRESIDENT/CEO)
(202) 427-4220
Entity
Organization
Contact information
Practice address
7097 GAME LORD DR, SPRINGFIELD, VA 22153-1312
(202) 427-4220
Mailing address
7097 GAME LORD DR, SPRINGFIELD, VA 22153-1312
(202) 427-4220
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1461
DMV VA
VA
Enumeration date
01/24/2023
Last updated
01/24/2023
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