Organization
PRIME TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI MOHAMED MIRE (OWNER)
(612) 501-4272
Entity
Organization
Contact information
Practice address
14274 IRVING AVE S, 244, BURNSVILLE, MN 55306-7111
(612) 501-4272
Mailing address
14274 IRVING AVE S, 244, BURNSVILLE, MN 55306-7111
(612) 501-4272
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
865921300030
MN
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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