# INNOVATIVE MOBILE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INNOVATIVE MOBILE SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962650424
- **Legal business name:** INNOVATIVE MOBILE SERVICES LLC
- **Authorized official:** MICHAEL KELLEY (OWNER)
- **Authorized official phone:** (417) 626-9729

## Contact information

- **Practice address:** 1209 HEATHERVIEW DR, OAK PARK, CA 91377-3914
- **Practice address phone:** (818) 879-8037
- **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 | 6638 | CA | Yes |

## Other

- **Enumeration date:** 09/08/2008
- **Last updated:** 03/26/2009
