Innovative Mobile Services LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

6638 Issued in CA

Legal business name

INNOVATIVE MOBILE SERVICES LLC

Practice address

1209 Heatherview Dr
Oak Park, CA 91377-3914

Phone

(818) 879-8037

NPI assigned

Sep 8, 2008

Last updated

Mar 26, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

INNOVATIVE MOBILE SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Michael KelleyNPI 1912174731

Title

Owner

Phone

(417) 626-9729

Specialties & licenses 1

Addresses

Part of

Innovative Mobile Services

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Jason Kelley

  • Radiography Radiologic Technologist
  • Oak Park, CA
  • NPI 1912174731
  NPD (past) Authorized official

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1962650424",
    "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": "417-626-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 HEATHERVIEW DR",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913773914",
            "telephone_number": "818-879-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MOBILE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE MOBILE SERVICES LLC",
        "enumeration_date": "2008-09-08",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "MICHAEL",
        "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": "CA",
            "license": "6638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Daniel Hampton, LMFT
• Katrina Hanna, LMFT
• Gary Thomas Hardeman, M.A.
• Christy Westlund Hennessey, OTR
• Jessica Matthew Hochman
• Nicki Angelyn Jackson, LMT
• Jeffrey Scott Kopstein, D.O., a Professional Corporation
• Karen Kulchin, LCSW
• Michael Jason Kelley
• Suzi Landolphi, LMFT

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oak Park, CA
• Providers in Oak Park, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.