Provider Demographics
NPI:1386870848
Name:INDUSTRIAL MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:INDUSTRIAL MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:MESSNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-527-5089
Mailing Address - Street 1:1244 RIVER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CODY
Mailing Address - State:WY
Mailing Address - Zip Code:82414-3009
Mailing Address - Country:US
Mailing Address - Phone:307-527-5089
Mailing Address - Fax:307-527-5008
Practice Address - Street 1:1244 RIVER VIEW DR
Practice Address - Street 2:
Practice Address - City:CODY
Practice Address - State:WY
Practice Address - Zip Code:82414-3009
Practice Address - Country:US
Practice Address - Phone:307-527-5089
Practice Address - Fax:307-527-5008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1443416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport