International Medical Systems Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

022201 Issued in PA

Legal business name

INTERNATIONAL MEDICAL SYSTEMS INC.

Practice address

1430 Dekalb St
Norristown, PA 19401-3406

Phone

(610) 292-0613

Fax

(610) 292-0883

NPI assigned

Dec 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gulamnabi Vahora, M.D.PH.D

Title

Lab - Director

Phone

(610) 292-0613

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1306907761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013406",
            "telephone_number": "610-292-0613",
            "fax_number": "610-292-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 DEKALB ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194013406",
            "telephone_number": "610-292-0613",
            "fax_number": "610-292-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL MEDICAL SYSTEMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "VAHORA",
        "authorized_official_first_name": "GULAMNABI",
        "authorized_official_title_or_position": "LAB - DIRECTOR",
        "authorized_official_telephone_number": "610-292-0613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.PH.D"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "022201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014005170004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Norristown, PA
• Providers in Norristown, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.