# INNOVATIVE MOBILE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528214913
- **Authorized official:** JAMES KELLY (OWNER)
- **Authorized official phone:** (417) 626-9729

## Contact information

- **Practice address:** 202 MILLER WAY, MONETT, MO 65708-8336
- **Practice address phone:** (417) 434-4935
- **Mailing address:** PO BOX 2966, JOPLIN, MO 64803-2966
- **Mailing address phone:** (417) 626-9729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 18723 | OK | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 09/01/2016