Provider Demographics
NPI:1841381175
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 CCT 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:800-225-9080
Mailing Address - Street 1:2811 E ANA ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-5601
Mailing Address - Country:US
Mailing Address - Phone:800-225-9080
Mailing Address - Fax:800-382-3573
Practice Address - Street 1:11616 E MONTGOMERY DR
Practice Address - Street 2:UNIT37-39
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6607
Practice Address - Country:US
Practice Address - Phone:800-225-9080
Practice Address - Fax:800-382-3573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
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
WA9056748Medicaid
WA9056748Medicaid