Organization
INNOVATIVE MOBILE SERVICES LLC
Active
Organization
INNOVATIVE MOBILE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KELLY (OWNER)
(417) 626-9729
Entity
Organization
Contact information
Practice address
202 MILLER WAY, MONETT, MO 65708-8336
(417) 434-4935
Mailing address
PO BOX 2966, JOPLIN, MO 64803-2966
(417) 626-9729
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
18723
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528214913
—
MO
05
—
200251380A
—
KS
Enumeration date
08/18/2008
Last updated
09/01/2016
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