Active NPI
Innovative Mobile Services LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Miami, OK
National Provider Identifier
1386881308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- 21673
- Legal business name
- INNOVATIVE MOBILE SERVICES LLC
- Practice address
- 2530 N Elm St
Miami, OK 74354-1444 - Phone
- (866) 598-9729
- NPI assigned
- Jan 13, 2009
- Organization subpart
- Yes
- Parent organization
- INNOVATIVE MOBILE SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Kelley
- Title
- Owner
- Phone
- (417) 626-9729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | 21673 | OK | Primary |
Addresses
Primary practice location
2530 N Elm St
Miami, OK 74354-1444
Mailing address
PO Box 2966
Joplin, MO 64803-2966
Phone (866) 598-9729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437202819 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Portable X-ray supplier certification: CCN 37X0009826
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- INNOVATIVE MOBILE SERVICES, L L C
- Certification status
- Active
- Provider type (POS)
- Portable X-ray supplier
- Participating since
- Feb 3, 2009
- Last certification
- Feb 3, 2009
- Ownership / control type
- CORPORATION
- Facility address
- 2530 North Elm
Miami, OK 74354
National Provider Directory
National Provider Directory- Part of
- Innovative Mobile Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458691200000",
"number": "1386881308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2966",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648032966",
"telephone_number": "866-598-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 N ELM ST",
"city": "MIAMI",
"state": "OK",
"postal_code": "743541444",
"telephone_number": "866-598-9729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE MOBILE SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INNOVATIVE MOBILE SERVICES, LLC",
"enumeration_date": "2009-01-13",
"last_updated": "2016-03-23",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-626-9729"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "OK",
"license": "21673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437202819",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.