Organization
IMPERIAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KODI STANDLEE (OWNER)
(208) 371-1735
Entity
Organization
Contact information
Practice address
200 W 37TH ST, #12, GARDEN CITY, ID 83714-3417
(208) 371-1735
Mailing address
200 W 37TH ST, #12, GARDEN CITY, ID 83714-3417
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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