MN Lakes Transportation, LLC

Primary specialty

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

Legal business name

MN LAKES TRANSPORTATION, LLC

Practice address

110 2ND St S
204
Waite Park, MN 56387-1662

Phone

(612) 481-2093

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Said Nur

Title

President

Phone

(612) 481-2093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1194189456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "204",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "612-481-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST S",
            "address_2": "204",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871662",
            "telephone_number": "612-481-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MN LAKES TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "SAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-481-2093"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Laroy Mills Jr.
• Minneapolis Senior Services
• Minnesota Vision Group PA
• Minnesota Vision Group PA
• Faviola Yaritza Miranda de Jesus
• Ashley Moen
• Abdikafi Mohamed
• Abdirahman Jamal Mohamed
• Amiro Mohamed
• Amran Abdirahman Mohamed

• Non-emergency Medical Transport (VAN) in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.