Imperial Transport LLC

NPI #1902256944 in Garden City, Idaho

Provider Information

NPI Number
1902256944
Entity Type
Organization
Organization Name
Imperial Transport LLC
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Jun 21, 2016
Last Updated
Jun 21, 2016

Practice Location

Address
200 W 37TH ST
Address 2
12
State
Idaho
ZIP Code
83714-3417
Phone
(208) 996-9631

Authorized Official

Name
ADAM KODI STANDLEE
Title
OWNER
Phone
(208) 996-9631

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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