Provider Demographics
NPI:1790562577
Name:MB TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MB TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALAB
Authorized Official - Middle Name:S
Authorized Official - Last Name:BALCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-492-2576
Mailing Address - Street 1:171 OAKLAND CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-8218
Mailing Address - Country:US
Mailing Address - Phone:720-492-2576
Mailing Address - Fax:
Practice Address - Street 1:171 OAKLAND CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8218
Practice Address - Country:US
Practice Address - Phone:720-492-2576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)