Provider Demographics
NPI:1598583700
Name:IMOLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:IMOLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BILKIS
Authorized Official - Middle Name:O
Authorized Official - Last Name:KADRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:945-264-0141
Mailing Address - Street 1:16225 PARK TEN PL STE 500
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-5152
Mailing Address - Country:US
Mailing Address - Phone:945-264-0141
Mailing Address - Fax:
Practice Address - Street 1:16225 PARK TEN PL STE 500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-5152
Practice Address - Country:US
Practice Address - Phone:945-264-0141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)