Organization
AMAZING TRANSPORTATION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINE W NDIFOR (CEO)
(617) 413-4952
Entity
Organization
Contact information
Practice address
9031 PENN AVE SOUTH SUITE 100, BLOOMINGTON, MN 55431
(617) 413-4952
(952) 884-1800
Mailing address
9031 PENN AVE S STE 100, BLOOMINGTON, MN 55431-2225
(617) 413-4952
(952) 884-1800
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L102169386203
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A986157200
—
MN
Enumeration date
01/07/2016
Last updated
01/07/2016
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