TERRI KELLEY NPI 1437202819

NPI Information

TERRI KELLEY is a portable x ray and or other portable diagnostic imaging supplier in Joplin, MO. The provider is 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. TERRI KELLEY NPI is 1437202819. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Mobile Services.

The provider's business location address is:

1801 KATHERINE AVE
JOPLIN, MO
ZIP 64801-888
Phone: (417) 626-9729
Fax: (471) 206-4113

The provider's authorized official is Michael Kelley .
The authorized official title is President and has the following contact phone number (417) 626-9729.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 1/12/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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