Organization
STATE EXPRESS MOBILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIRA TALA (MANAGER/DRIVER)
(763) 334-8981
Entity
Organization
Contact information
Practice address
5401 94TH AVE N UNIT 104, BROOKLYN PARK, MN 55443-5501
(763) 496-4189
Mailing address
5401 94TH AVE N UNIT 104, BROOKLYN PARK, MN 55443-5501
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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