Provider Demographics
NPI:1326865759
Name:ANISO TRANSPORT LLC
Entity type:Organization
Organization Name:ANISO TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLYER
Authorized Official - Prefix:
Authorized Official - First Name:NAIM
Authorized Official - Middle Name:H
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-791-5736
Mailing Address - Street 1:4414 SANDY PARK DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-7131
Mailing Address - Country:US
Mailing Address - Phone:901-791-5736
Mailing Address - Fax:
Practice Address - Street 1:4414 SANDY PARK DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-7131
Practice Address - Country:US
Practice Address - Phone:901-791-5736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)