Organization · NPI-2

Iride INC.

Non-emergency Medical Transport (VAN) · Maple Grove, MN

NPI number1750707436
StatusActive
Last updated in NPPESMay 28, 2015

Details

NPI
1750707436
Entity type
Organization (NPI-2)
Legal business name
Iride INC.
Organization subpart
No
Enumeration date
Mar 5, 2014
Last updated
May 28, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)–MNYes

Practice location

17678 72nd Ave N
Maple Grove, MN 55311-2742

Phone 763-220-0024 · Fax 813-501-1131

Mailing address

17678 72nd Ave N
Maple Grove, MN 55311-2742

Phone 763-220-0024 · Fax 813-501-1131

Authorized official

Ivan Muraveynik
Ceo
7632200024

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