Lakeline Transportation LLC

Primary specialty

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

License

870283400039 Issued in MN

Legal business name

LAKELINE TRANSPORTATION LLC

Practice address

1416 Shoreline Dr
Eagan, MN 55121

Phone

(612) 702-9259

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Abdiqadar Farah

Title

Owner

Phone

(612) 702-9259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1962861005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 SHORELINE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "612-702-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SHORELINE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "612-702-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELINE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ABDIQADAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-702-9259"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "870283400039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Lacher-Goddard, MACCCSLP
• Rebecca J Laing, PHARMD
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• Lakeland Homecare LLC
• Lakeland Staffing Solutions, LLC
• Lakes Area Health Center, PLLC
• Laura Lynn Lammar-Binder, MA, LMFT
• Jennifer Landry, LGSW
• Lindsay Marie Lankford, PT
• Jonathan Lanthier, PHARMD, RPH

• Non-emergency Medical Transport (VAN) in Eagan, MN
• Providers in Eagan, 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 Feb 17, 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.