Organization
VIKING AIRPORT TAXI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMUD MOHAMED MOHAMUD (PRESIDENT)
(952) 995-0110
Entity
Organization
Contact information
Practice address
9217 17TH AVE S STE 215, BLOOMINGTON, MN 55425-2372
(952) 995-0110
Mailing address
9217 17TH AVE S STE 215, BLOOMINGTON, MN 55425-2372
(952) 995-0110
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
376242
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376242
STS
MN
Enumeration date
05/07/2011
Last updated
05/07/2011
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