Provider Demographics
NPI:1083167282
Name:QORAXEY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:QORAXEY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KHADIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-402-9035
Mailing Address - Street 1:15205 18TH AVE N APT 107
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-6481
Mailing Address - Country:US
Mailing Address - Phone:612-402-9035
Mailing Address - Fax:
Practice Address - Street 1:15205 18TH AVE N APT 107
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-6481
Practice Address - Country:US
Practice Address - Phone:612-402-9035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-25
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)