INNOVATIVE MOBILE SERVICES LLC (NPI# 1962650424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962650424 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE MOBILE SERVICES LLC |
| Practice Address |
1209 Heatherview Dr Oak Park CA 91377-3914 |
| Mailing Address |
Po Box 2966 Joplin MO 64803-2966 |
| Practice Telephone | 8188798037 |
| Mailing Telephone | 4176269729 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | MICHAEL KELLEY (OWNER) |
| Authorized Official Telephone | 4176269729 |
| Is Organization Subpart | Y |
| Parent Organization Name | INNOVATIVE MOBILE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6638 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528214913 | Innovative Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 202 Miller Way, Monett, MO 65708-8336 | 2008-08-18 |
| 1386881308 | Innovative Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2530 N Elm St, Miami, OK 74354-1444 | 2009-01-13 |
| Street Address |
1209 HEATHERVIEW DR |
| City | OAK PARK |
| State | CA |
| Zip Code | 91377-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912174731 | Michael Jason Kelley | Radiologic Technologist | 1209 Heatherview Dr, Oak Park, CA 91377-3914 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377321 | Rachel Convey | Speech-Language Pathologist | 362 North Oak Hills Dr, Oak Park, CA 91377 | 2020-02-07 |
| 1992254502 | Brenda Pasqua | Emergency Medical Technician, Basic | 899 Kanan Rd, Oak Park, CA 91377 | 2016-09-23 |
| 1093178303 | Paul Hahn | Marriage & Family Therapist | 6843 Poppyview Drive, Oak Park, CA 91377 | 2016-04-04 |
| 1881848554 | Akeomai Physical Therapy, PC | Clinic/Center | 734 Lindero Canyon Road, Oak Park, CA 91377 | 2008-11-07 |
| 1386865988 | Eyal Ron | Radiology | 325 Southridge Dr, Oak Park, CA 91377 | 2007-05-01 |
| 1811079809 | Tracey Burrell | Psychologist | 346 North Kanan Road, 202, Oak Park, CA 91377 | 2006-10-19 |
| 1033421805 | Karen Tenenblatt | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377 | 2010-07-09 |
| 1992203228 | Nancy Raquel Ludwig | Marriage & Family Therapist | 5867 Briarwood Ln, Oak Park, CA 91377-1063 | 2018-02-01 |
| 1083798805 | Tad Alan Erickson | Dentist | 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 | 2006-10-25 |
| 1982851812 | Gary Thomas Hardeman | Speech-Language Pathologist | 346 Kanan Rd, #104, Oak Park, CA 91377-1100 | 2008-08-21 |
| Find all providers in zip 91377 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
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| 1790314151 | Jem Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 359 Churchill Pl, Gilroy, CA 95020-6738 | 2020-04-07 |
| 1427695352 | Quality Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11900 Avalon Blvd Ste 101, Los Angeles, CA 90061-2867 | 2019-12-10 |
| 1851940431 | X-ray Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6450 Bellingham Ave Ste F, North Hollywood, CA 91606-1429 | 2019-09-06 |
| 1063074730 | Better Life United Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4100 Easton Dr Ste 12, Bakersfield, CA 93309-9418 | 2019-07-02 |
| 1679134118 | Sd Xray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3220 S Brea Canyon Rd Ste B, Diamond Bar, CA 91765-3481 | 2019-06-25 |
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1457816712 | Pmdtc, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 23297 S Pointe Dr Ste 120, Laguna Hills, CA 92653-1491 | 2019-01-31 |
| 1083188767 | Mabel Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 356 E Olive Ave Ste 111, Burbank, CA 91502-1260 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.