Provider Demographics
NPI:1235296997
Name:INTERACTIVE MEDICAL SYSTEMS, INC.
Entity Type:Organization
Organization Name:INTERACTIVE MEDICAL SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR ACCOUNT MGR
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPOINTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-372-2527
Mailing Address - Street 1:1107 FAIR OAKS AVE
Mailing Address - Street 2:SUITE 432
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-3311
Mailing Address - Country:US
Mailing Address - Phone:888-877-0290
Mailing Address - Fax:888-877-0212
Practice Address - Street 1:8900 SW BURNHAM ST
Practice Address - Street 2:SUITE F7
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6133
Practice Address - Country:US
Practice Address - Phone:888-877-0290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5061590001Medicare ID - Type Unspecified
OR5061590004Medicare ID - Type Unspecified