Healthcare Provider Details

I. General information

NPI: 1215867627
Provider Name (Legal Business Name): SAFE RIDE EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6788 ANTHEM ST E
FIFE WA
98424-3804
US

IV. Provider business mailing address

6788 ANTHEM ST E
FIFE WA
98424-3804
US

V. Phone/Fax

Practice location:
  • Phone: 206-397-6915
  • Fax:
Mailing address:
  • Phone: 206-397-6915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: LACHIN VEISALOV
Title or Position: TRANSPORTATION OWNER
Credential:
Phone: 206-397-6915