Healthcare Provider Details

I. General information

NPI: 1730012485
Provider Name (Legal Business Name): IFLOORING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 DOUGLAS DR N STE 224V
GOLDEN VALLEY MN
55422-4361
US

IV. Provider business mailing address

1710 DOUGLAS DR N STE 224V
GOLDEN VALLEY MN
55422-4361
US

V. Phone/Fax

Practice location:
  • Phone: 612-759-0620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: ISLAM ATAYEV
Title or Position: OWNER
Credential:
Phone: 612-759-0620