Organization
MEDICX TRANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMMED S IBRAHIM OFFICIAL REP (CEO)
(919) 637-0546
Entity
Organization
Contact information
Practice address
3525 N WILLOW CT APT 3, BETTENDORF, IA 52722-2892
(563) 551-3143
(563) 551-2733
Mailing address
PO BOX 661, BETTENDORF, IA 52722-0012
(563) 551-3143
(563) 551-2733
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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