| Organization Name: | INNOVATIVE SERVICES INC |
| NPI Number: | 1003862020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALYCE MARIE CROSSMAN (VP, CIO) |
| Mailing Address: | 6700 Thompson Rd Syracuse |
| State: | NY US |
| Postal Code: | 132112141 |
| Phone Number: | 3154371627 |
| Fax Number: | 3154377931 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |