Provider Demographics
NPI:1427737071
Name:INMOTION TRANSIT
Entity type:Organization
Organization Name:INMOTION TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:SENGKHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SOUVANNAVONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-353-0000
Mailing Address - Street 1:1747 N 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-1941
Mailing Address - Country:US
Mailing Address - Phone:707-353-0000
Mailing Address - Fax:
Practice Address - Street 1:2954 N 36TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1926
Practice Address - Country:US
Practice Address - Phone:414-698-1937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)