Organization
ABOVEBOARD TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KATWALO (PRESIDENT)
(763) 390-4141
Entity
Organization
Contact information
Practice address
5116 BROOKDALE DR N, BROOKLYN PARK, MN 55443-3007
(763) 390-4141
Mailing address
7964 BROOKDALE DR, # 334, BROOKLYN PARK, MN 55445
(763) 390-4141
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
STS # 376061
MN
Other
Enumeration date
03/25/2011
Last updated
10/20/2011
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