Provider Demographics
NPI:1164878039
Name:M-L TRANSPOTATION LLC
Entity Type:Organization
Organization Name:M-L TRANSPOTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:01/01/1984
Authorized Official - Phone:612-483-9394
Mailing Address - Street 1:2909 BLOOMINGTON AVE APT 309
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-5776
Mailing Address - Country:US
Mailing Address - Phone:612-483-9304
Mailing Address - Fax:
Practice Address - Street 1:2909 BLOOMINGTON AVE APT 309
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-5776
Practice Address - Country:US
Practice Address - Phone:612-483-9304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)