Provider Demographics
NPI:1922766591
Name:MKE EXPEDITED LLC
Entity Type:Organization
Organization Name:MKE EXPEDITED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DEJAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-436-4400
Mailing Address - Street 1:9401 W BELOIT RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227-4357
Mailing Address - Country:US
Mailing Address - Phone:414-436-4400
Mailing Address - Fax:
Practice Address - Street 1:9401 W BELOIT RD STE 106
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227-4357
Practice Address - Country:US
Practice Address - Phone:414-436-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi