Provider Demographics
NPI:1295193795
Name:INTELLIRIDE, A DIVISION OF TRANSDEV
Entity type:Organization
Organization Name:INTELLIRIDE, A DIVISION OF TRANSDEV
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:FABIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-504-8254
Mailing Address - Street 1:2222 CUMING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-4328
Mailing Address - Country:US
Mailing Address - Phone:402-504-8254
Mailing Address - Fax:
Practice Address - Street 1:2222 CUMING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-4328
Practice Address - Country:US
Practice Address - Phone:402-504-8254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSDEV
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-29
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker