Provider Demographics
NPI:1760881312
Name:MAINLAND TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MAINLAND TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ASAD
Authorized Official - Middle Name:KHALIF
Authorized Official - Last Name:ALIWEYD
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:952-212-7446
Mailing Address - Street 1:6873 WASHINGTON AVE S STE 201
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-1516
Mailing Address - Country:US
Mailing Address - Phone:952-212-7446
Mailing Address - Fax:952-351-9830
Practice Address - Street 1:6873 WASHINGTON AVE S STE 201
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-1516
Practice Address - Country:US
Practice Address - Phone:952-212-7446
Practice Address - Fax:952-351-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)