Organization
INNOVATIVE MOBILE SERVICES LLC
Active
Parent organization
INNOVATIVE MOBILE SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE MOBILE SERVICES, LLC
Authorized official
JAMES KELLEY (OWNER)
(417) 626-9729
Entity
Organization
Contact information
Practice address
2530 N ELM ST, MIAMI, OK 74354-1444
(866) 598-9729
Mailing address
PO BOX 2966, JOPLIN, MO 64803-2966
(866) 598-9729
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
21673
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437202819
—
OK
Enumeration date
01/13/2009
Last updated
03/23/2016
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