Healthcare Provider Details

I. General information

NPI: 1700610870
Provider Name (Legal Business Name): RYDGO TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 LEXINGTON AVE N STE 215
SHOREVIEW MN
55126-8163
US

IV. Provider business mailing address

3450 LEXINGTON AVE N STE 215
SHOREVIEW MN
55126-8163
US

V. Phone/Fax

Practice location:
  • Phone: 612-978-6645
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MR. OMAR MOHAMED
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 612-978-6645