NPIMap

Organization Active NPI

Broadway Express

  • Non-emergency Medical Transport (VAN)
  • Mableton, GA
National Provider Identifier
1427453034
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
058269727 Issued in GA
Legal business name
BROADWAY EXPRESS
Practice address
6101 Heritage Way SE
Mableton, GA 30126-3606
Phone
(720) 988-4245
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Emad Queider
Title
Owner/Manager
Phone
(720) 988-4245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 058269727 GA Primary

Addresses

Primary practice location

6101 Heritage Way SE
Mableton, GA 30126-3606

Mailing address

6101 Heritage Way SE
Mableton, GA 30126-3606
Phone (720) 988-4245

National Provider Directory

National Provider Directory
Tax ID family
Biltmore Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1427453034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 HERITAGE WAY SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263606",
            "telephone_number": "720-988-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 HERITAGE WAY SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263606",
            "telephone_number": "720-988-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "QUEIDER",
        "authorized_official_first_name": "EMAD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "720-988-4245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "058269727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.