Organization
BLAST CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARTUN ABUKAR (OWNER)
(612) 232-9393
Entity
Organization
Contact information
Practice address
9001 E BLOOMINGTON FWY STE 129B, BLOOMINGTON, MN 55420-3435
(612) 255-3358
(612) 278-4035
Mailing address
9001 E BLOOMINGTON FWY STE 129B, BLOOMINGTON, MN 55420-3435
(612) 255-3358
(612) 278-4035
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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