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NPI Code Detail

MEDICARE: TIMELY LRIDE LLC

MEDICARE: TIMELY LRIDE 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 : 1962101220
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIMELY LRIDE LLC
Provider Business Mailing Address
First Line : 8030 OLD CEDAR AVE S STE 121
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-1214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8030 OLD CEDAR AVE S STE 121
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-1214
Country : US
Telephone Number : 612-283-4423
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MOHAMED ALI MOHAMED
Credential :
Telephone Number : 612-804-7865
Provider Enumeration Date : 02/27/2023
Last Update Date : 01/06/2026

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Directions to “TIMELY LRIDE LLC ” Practice Location

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