Provider Demographics
NPI:1699487959
Name:EZ ACCESS LLC
Entity type:Organization
Organization Name:EZ ACCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEOULSEGED
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-278-1597
Mailing Address - Street 1:15151 BRAZIL CIR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5548
Mailing Address - Country:US
Mailing Address - Phone:571-278-1597
Mailing Address - Fax:
Practice Address - Street 1:15151 BRAZIL CIR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5548
Practice Address - Country:US
Practice Address - Phone:571-278-1597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)