Provider Demographics
NPI:1659061778
Name:KADRO TRANS LLC
Entity Type:Organization
Organization Name:KADRO TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABUBAKER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-803-0788
Mailing Address - Street 1:1311 W BASELINE RD APT 2044
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5386
Mailing Address - Country:US
Mailing Address - Phone:480-803-0788
Mailing Address - Fax:
Practice Address - Street 1:1311 W BASELINE RD APT 2044
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5386
Practice Address - Country:US
Practice Address - Phone:480-803-0788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)