Provider Demographics
NPI:1952000465
Name:EXPRESS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:EXPRESS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRISAK
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-227-7841
Mailing Address - Street 1:3905 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-1323
Mailing Address - Country:US
Mailing Address - Phone:612-227-7841
Mailing Address - Fax:
Practice Address - Street 1:3905 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53714-1323
Practice Address - Country:US
Practice Address - Phone:612-227-7841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company