Active NPI
Iq Dispatch LLC
- Non-emergency Medical Transport (VAN)
- Leesburg, VA
National Provider Identifier
1477102895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- IQ DISPATCH LLC
- Doing business as
- Iq Dispatch LLC
- Practice address
- 722 E Market St Ste 102
Leesburg, VA 20176-4475 - Phone
- (407) 492-9483
- NPI assigned
- Sep 9, 2019
- Last updated
- Sep 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nebiyu Berhanu
- Title
- Managing Director
- Phone
- (407) 492-9483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
722 E Market St Ste 102
Leesburg, VA 20176-4475
Mailing address
5760 Dow Ave Apt 320
Alexandria, VA 22304-4066
Phone (407) 492-9483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117108351 | Other | DUN NUMBER |
Other names 1
- IQ DISPATCH LLC
National Provider Directory
National Provider DirectoryLocations
5760 Dow Ave
Apt 320
Alexandria, VA 22304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567987200000",
"number": "1477102895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5760 DOW AVE APT 320",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223044066",
"telephone_number": "407-492-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 E MARKET ST STE 102",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201764475",
"telephone_number": "407-492-9483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IQ DISPATCH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-09",
"last_updated": "2019-09-09",
"status": "A",
"authorized_official_last_name": "BERHANU",
"authorized_official_first_name": "NEBIYU",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "407-492-9483"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUN NUMBER",
"identifier": "117108351",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IQ DISPATCH LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.