Provider Demographics
NPI:1770220303
Name:J&M MOBILITY TRANSPORTATION,LLC
Entity Type:Organization
Organization Name:J&M MOBILITY TRANSPORTATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SIMON
Authorized Official - Middle Name:TSE
Authorized Official - Last Name:AKUNDU
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:763-225-7290
Mailing Address - Street 1:1849 LACHMAN AVE NE
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-4226
Mailing Address - Country:US
Mailing Address - Phone:763-225-7290
Mailing Address - Fax:
Practice Address - Street 1:1849 LACHMAN AVE NE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-4226
Practice Address - Country:US
Practice Address - Phone:763-225-7290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)