Organization Name: | INTERACTIVE MEDICAL SYSTEMS, INC. |
NPI Number: | 1194058453 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN REITZ (CEO) |
Mailing Address: | 1258 Nw Eagle Ridge Blvd Suite B Grain Valley |
State: | MO US |
Postal Code: | 640298248 |
Phone Number: | 8165000643 |
Fax Number: | 8888770212 |
NPI Enumeration Date: | 09/17/2009 |
NPI Last Update Date: | 09/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |