Provider Demographics
NPI:1285331439
Name:ADVANCED INNOVATIVE MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:ADVANCED INNOVATIVE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-767-9954
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:STE 204
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067
Mailing Address - Country:US
Mailing Address - Phone:615-790-4140
Mailing Address - Fax:615-790-4141
Practice Address - Street 1:745 S CHURCH ST STE 601
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4980
Practice Address - Country:US
Practice Address - Phone:615-767-9954
Practice Address - Fax:219-506-7653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty