Provider Demographics
NPI:1992529994
Name:ANZ EXPRESS LLC
Entity type:Organization
Organization Name:ANZ EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABDINUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-271-2147
Mailing Address - Street 1:2825 59TH ST NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-8799
Mailing Address - Country:US
Mailing Address - Phone:507-271-2147
Mailing Address - Fax:
Practice Address - Street 1:2825 59TH STREET NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-271-2147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)