Provider Demographics
NPI:1629754635
Name:BLUE SKY TRANSPORTATION LLC
Entity Type:Organization
Organization Name:BLUE SKY TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NAJAH
Authorized Official - Middle Name:HUSSEIN
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-422-5598
Mailing Address - Street 1:921 W LAPHAM BLVD APT 12
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-3435
Mailing Address - Country:US
Mailing Address - Phone:414-422-5598
Mailing Address - Fax:
Practice Address - Street 1:921 W LAPHAM BLVD APT 12
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-3435
Practice Address - Country:US
Practice Address - Phone:414-422-5598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)