MN Lakers Transportation, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MN LAKERS TRANSPORTATION, LLC

Practice address

1228 30TH St NW # S319
Bemidji, MN 56601-4131

Phone

(612) 483-0374

Fax

(763) 205-5554

NPI assigned

Feb 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Omar Ismail Osman

Title

Logistics Manager

Phone

(763) 205-5116

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1003276304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 344",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "763-205-5116",
            "fax_number": "763-205-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 30TH ST NW # S319",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014131",
            "telephone_number": "612-483-0374",
            "fax_number": "763-205-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN LAKERS TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "ISMAIL",
        "authorized_official_title_or_position": "LOGISTICS MANAGER",
        "authorized_official_telephone_number": "763-205-5116"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bemidji, MN
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.