NPI Code Detail JSON Logo

1598096315 NPI number — INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION

NPI Number: 1598096315
Health Care Provider/Practitioner: INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION

Information about “1598096315” NPI (INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION) exists in 1598096315 in HTML format HTML  |  1598096315 in plain Text format TXT  |  1598096315 in PDF (Portable Document Format) PDF  |  1598096315 in an XML format XML  formats.

NPI Number : 1598096315 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598096315",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INDUSTRIAL MEDICAL SERVICES & URGENT CARE INCORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13024 HESPERIA RD",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "VICTORVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92395-8302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-951-4811",
    "MailingAddressFaxNumber": "760-951-4833",
    "FirstLinePracticeLocationAddress": "13024 HESPERIA RD",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "VICTORVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92395-8302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-951-4811",
    "PracticeLocationAddressFaxNumber": "760-951-4833",
    "EnumerationDate": "01/18/2010",
    "LastUpdateDate": "07/26/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADESIDA",
    "AuthorizedOfficialFirstName": "ANDREW",
    "AuthorizedOfficialMiddleName": "ADEDAPO",
    "AuthorizedOfficialTitle": "PHYSICIAN ASSISTANT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PA15768",
    "AuthorizedOfficialTelephoneNumber": "760-951-4811",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QH0100X",
          "TaxonomyName": "Health Service Clinic/Center",
          "LicenseNumber": "PA15768",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.