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NPI Code Detail

MEDICARE: I & M TRANSPORTATION LLC

MEDICARE: I & M TRANSPORTATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1770941411
Entity Type Code : Organization
Provider Name (Legal Business Name) : I & M TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 2929 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1390
Country : US
Telephone Number : 602-386-9307
Fax Number :
Provider Business Practice Location Address
First Line : 2929 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1390
Country : US
Telephone Number : 602-386-9307
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. SAIED BULQAAS
Credential :
Telephone Number : 602-386-9307
Provider Enumeration Date : 02/09/2016
Last Update Date : 02/09/2016

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Directions to “I & M TRANSPORTATION LLC ” Practice Location

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