Organization
MN LAKERS TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR ISMAIL OSMAN (LOGISTICS MANAGER)
(763) 205-5116
Entity
Organization
Contact information
Practice address
1228 30TH ST NW # S319, BEMIDJI, MN 56601-4131
(612) 483-0374
(763) 205-5554
Mailing address
5701 SHINGLE CREEK PKWY STE 344, BROOKLYN CENTER, MN 55430-2467
(763) 205-5116
(763) 205-5554
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
08/06/2021
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