Organization
IMPERIAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM KODI STANDLEE (OWNER)
(208) 996-9631
Entity
Organization
Contact information
Practice address
200 W 37TH ST, 12, GARDEN CITY, ID 83714-3417
(208) 996-9631
Mailing address
200 W 37TH ST, 12, GARDEN CITY, ID 83714-3417
(208) 996-9631
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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