Provider Demographics
NPI:1033849740
Name:AZMOT LOGISTICS AND TRANSPORTATION LLC
Entity Type:Organization
Organization Name:AZMOT LOGISTICS AND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IDOWU
Authorized Official - Middle Name:A
Authorized Official - Last Name:AYINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-261-1725
Mailing Address - Street 1:5270 MULBERRY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:IN
Mailing Address - Zip Code:46368-2831
Mailing Address - Country:US
Mailing Address - Phone:317-261-1725
Mailing Address - Fax:
Practice Address - Street 1:5270 MULBERRY AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:IN
Practice Address - Zip Code:46368-2831
Practice Address - Country:US
Practice Address - Phone:317-261-1725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)