Provider Demographics
NPI:1992338263
Name:INJURY MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:INJURY MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SALEM
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:702-509-5098
Mailing Address - Street 1:8465 W SAHARA AVE STE 111-249
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8960
Mailing Address - Country:US
Mailing Address - Phone:702-509-5098
Mailing Address - Fax:702-924-6356
Practice Address - Street 1:4270 S DECATUR BLVD STE A5
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-6801
Practice Address - Country:US
Practice Address - Phone:702-509-5098
Practice Address - Fax:702-924-6356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty