Provider Demographics
NPI:1427688076
Name:FEATURED LLC
Entity type:Organization
Organization Name:FEATURED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAZZAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-218-8404
Mailing Address - Street 1:276 COLONNADE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-4964
Mailing Address - Country:US
Mailing Address - Phone:434-218-8404
Mailing Address - Fax:
Practice Address - Street 1:276 COLONNADE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4964
Practice Address - Country:US
Practice Address - Phone:434-218-8404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FEATURED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)