Provider Demographics
NPI:1851188353
Name:MIMI NON-EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:MIMI NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MUNIRA
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ABDULKADIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-241-6814
Mailing Address - Street 1:1213 S 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-3928
Mailing Address - Country:US
Mailing Address - Phone:480-241-6814
Mailing Address - Fax:
Practice Address - Street 1:1213 S 13TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-3928
Practice Address - Country:US
Practice Address - Phone:480-241-6814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)