Provider Demographics
NPI:1376101865
Name:INJURY MEDICAL ASSOCIATES
Entity Type:Organization
Organization Name:INJURY MEDICAL ASSOCIATES
Other - Org Name:INJURY REHAB ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
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 1:2832 E LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-0157
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:2019-05-30
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty