Imperial Transport LLC

Primary specialty

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

Legal business name

IMPERIAL TRANSPORT LLC

Practice address

200 W 37TH St
12
Garden City, ID 83714-3417

Phone

(208) 996-9631

NPI assigned

Jun 21, 2016

Organization subpart

No

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

Authorized official

Name

Adam Kodi Standlee

Title

Owner

Phone

(208) 996-9631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1902256944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 37TH ST",
            "address_2": "12",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837143417",
            "telephone_number": "208-996-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 37TH ST",
            "address_2": "12",
            "city": "GARDEN CITY",
            "state": "ID",
            "postal_code": "837143417",
            "telephone_number": "208-996-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "STANDLEE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "KODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-996-9631"
    },
    "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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• Non-emergency Medical Transport (VAN) in Garden City, ID
• Providers in Garden City, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.