Organization
AIRPORT EXPRESS SUPER TAXI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AWALE TAHIRO (BUSINESS OWNER)
(651) 203-3402
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W, SUITE S-318, SAINT PAUL, MN 55104-2801
(612) 349-9999
Mailing address
1821 UNIVERSITY AVE W, SUITE S-318, SAINT PAUL, MN 55104-2801
(612) 349-9999
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L256 50026
MN
344600000X
Taxi
L256 50026
MN
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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