Healthcare Provider Details

I. General information

NPI: 1437391067
Provider Name (Legal Business Name): INDUSTRIAL MEDICAL CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5811 E TRUMAN RD
KANSAS CITY MO
64126-2400
US

IV. Provider business mailing address

5811 E TRUMAN RD
KANSAS CITY MO
64126-2400
US

V. Phone/Fax

Practice location:
  • Phone: 816-241-4477
  • Fax: 816-241-5652
Mailing address:
  • Phone: 816-241-4477
  • Fax: 816-241-5652

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number StateMO

VIII. Authorized Official

Name: MR. DAVID LEWIS BIERSMITH
Title or Position: PRESIDENT
Credential: PRESIDENT
Phone: 816-241-4477