Organization
BROADWAY EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMAD QUEIDER (OWNER/MANAGER)
(720) 988-4245
Entity
Organization
Contact information
Practice address
6101 HERITAGE WAY SE, MABLETON, GA 30126-3606
(720) 988-4245
Mailing address
6101 HERITAGE WAY SE, MABLETON, GA 30126-3606
(720) 988-4245
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
058269727
GA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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