Provider Demographics
NPI:1790551570
Name:IBK TRANSPORT & LOGISTICS LLC
Entity Type:Organization
Organization Name:IBK TRANSPORT & LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:KOFFI
Authorized Official - Last Name:BOBOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-478-9343
Mailing Address - Street 1:8822 CHAPADA HIGHLANDS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6962
Mailing Address - Country:US
Mailing Address - Phone:281-766-8301
Mailing Address - Fax:
Practice Address - Street 1:8822 CHAPADA HIGHLANDS DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6962
Practice Address - Country:US
Practice Address - Phone:281-766-8301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)