Provider Demographics
NPI:1376745406
Name:IMPERIAL MEDICAL SERVICES, LLC
Entity Type:Organization
Organization Name:IMPERIAL MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBBIE
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BURDENIUK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CNOR, CRNFA
Authorized Official - Phone:615-354-8782
Mailing Address - Street 1:7420 RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-6571
Mailing Address - Country:US
Mailing Address - Phone:615-354-8782
Mailing Address - Fax:615-346-9583
Practice Address - Street 1:7420 RIVERFRONT DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-6571
Practice Address - Country:US
Practice Address - Phone:615-354-8782
Practice Address - Fax:615-346-9583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty