Provider Demographics
NPI:1922599828
Name:PLATINUM TRANSPORTATION LLC
Entity Type:Organization
Organization Name:PLATINUM TRANSPORTATION LLC
Other - Org Name:PLATINUM TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHEIKHOU
Authorized Official - Middle Name:O
Authorized Official - Last Name:CISSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-336-9780
Mailing Address - Street 1:3300 BASS LAKE RD STE 320E
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3072
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3300 BASS LAKE RD STE 320E
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3072
Practice Address - Country:US
Practice Address - Phone:320-336-9780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)