Provider Demographics
NPI:1184325375
Name:EXPRESS LIMO DENVER LLC
Entity type:Organization
Organization Name:EXPRESS LIMO DENVER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDLKERIM
Authorized Official - Middle Name:MOHAMMED
Authorized Official - Last Name:IDRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-642-6806
Mailing Address - Street 1:453 S NORFOLK WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-2210
Mailing Address - Country:US
Mailing Address - Phone:303-642-6806
Mailing Address - Fax:
Practice Address - Street 1:453 S NORFOLK WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-2210
Practice Address - Country:US
Practice Address - Phone:303-642-6806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPRESS LIMO DENVER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)