Healthcare Provider Details

I. General information

NPI: 1972697068
Provider Name (Legal Business Name): IMS EXPERTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1696 COUNTRY CLUB DRVIE
MANSFIELD TX
76063-2625
US

IV. Provider business mailing address

1696 COUNTRY CLUB DRVIE
MANSFIELD TX
76063-2625
US

V. Phone/Fax

Practice location:
  • Phone: 817-453-9767
  • Fax: 817-473-1839
Mailing address:
  • Phone: 817-453-9767
  • Fax: 817-473-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0099159
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. KIMBERLY WELCH
Title or Position: OWNER
Credential:
Phone: 817-453-9767