Provider Demographics
NPI:1285105924
Name:MODERN TRANSPORTATION LLC
Entity type:Organization
Organization Name:MODERN TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ORFALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-354-3654
Mailing Address - Street 1:4352 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5409
Mailing Address - Country:US
Mailing Address - Phone:586-728-0069
Mailing Address - Fax:
Practice Address - Street 1:4352 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5409
Practice Address - Country:US
Practice Address - Phone:586-728-0069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker