Provider Demographics
NPI:1710679402
Name:SODAK TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SODAK TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DEJENE
Authorized Official - Middle Name:
Authorized Official - Last Name:KASA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-335-7064
Mailing Address - Street 1:19602 E GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5829
Mailing Address - Country:US
Mailing Address - Phone:303-335-7064
Mailing Address - Fax:
Practice Address - Street 1:19602 E GARDEN DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-5829
Practice Address - Country:US
Practice Address - Phone:303-335-7064
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle