Provider Demographics
NPI:1588009732
Name:BLUE & WHITE SERVICE CORPORATION
Entity Type:Organization
Organization Name:BLUE & WHITE SERVICE CORPORATION
Other - Org Name:BLUE & WHITE TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SONBOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-669-7389
Mailing Address - Street 1:4812 PARK GLEN RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55413-4605
Mailing Address - Country:US
Mailing Address - Phone:612-333-0469
Mailing Address - Fax:612-236-0544
Practice Address - Street 1:4812 PARK GLEN RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-5702
Practice Address - Country:US
Practice Address - Phone:612-333-0469
Practice Address - Fax:612-236-0544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi