Provider Demographics
NPI:1972319804
Name:ALY TRANS LLC
Entity type:Organization
Organization Name:ALY TRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-512-3767
Mailing Address - Street 1:77 JEMA CT
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4532
Mailing Address - Country:US
Mailing Address - Phone:319-512-3767
Mailing Address - Fax:319-302-3732
Practice Address - Street 1:77 JEMA CT
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-4532
Practice Address - Country:US
Practice Address - Phone:319-512-3767
Practice Address - Fax:319-302-3732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)