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
MICHAEL KELLEY (OWNER)
(417) 626-9729
Entity
Organization
Contact information
Practice address
1209 HEATHERVIEW DR, OAK PARK, CA 91377-3914
(818) 879-8037
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
6638
CA
Other
Enumeration date
09/08/2008
Last updated
03/26/2009
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