Organization
LAKEVIEW TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIKARIM MOHAMED (OWNER)
(612) 707-9530
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N STE 145, GOLDEN VALLEY, MN 55422-4355
(763) 273-4888
Mailing address
1710 DOUGLAS DR N STE 145, GOLDEN VALLEY, MN 55422-4355
(763) 273-4888
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376634
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711617200
—
MN
Enumeration date
01/14/2016
Last updated
01/14/2016
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