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NPI Code Detail

MEDICARE: IMI MANAGEMENT LLC

MEDICARE: IMI MANAGEMENT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1841178597
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMI MANAGEMENT LLC
Provider Business Mailing Address
First Line : 1050 E FLAMINGO RD STE 107
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-7429
Country : US
Telephone Number : 702-842-0542
Fax Number : 702-819-0563
Provider Business Practice Location Address
First Line : 6501 VEGAS DR APT 2088
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-7763
Country : US
Telephone Number : 702-842-0542
Fax Number : 702-819-0563
Authorized Official
Title or Position : CEO
Name : ERICA JOUBERT
Credential : CHW I
Telephone Number : 725-268-8701
Provider Enumeration Date : 08/21/2025
Last Update Date : 10/02/2025

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Directions to “IMI MANAGEMENT LLC ” Practice Location

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