Innovative Mobile Services

LBN: Terri Kelley
Innovative Mobile Services is an health care organization with primary practice located at 1801 Katherine Ave , Joplin MO 64801-5888. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Terri Kelley can be contacted via phone (417) 626-9729, or through Kelley, Michael via phone (417) 626-9729.

Contact Information

Primary practice address
1801 Katherine Ave Joplin MO 64801-5888
Phone: (417) 626-9729
Fax: (471) 206-4113
Website:
Map and Directions
Authorized official contact:
Name: Kelley, Michael
Phone: (417) 626-9729

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 309 Missouri

Profile Details

NPI number 1437202819
LBN Legal business name Terri Kelley
DBA Doing business as Innovative Mobile Services
Authorized official Kelley, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jan 12th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437202819 NPPES
Oklahoma MEDICAID 200021670A
Oklahoma MEDICAID 719136509
Oklahoma MEDICAID 200253180A

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