Provider Demographics
NPI:1972697068
Name:IMS EXPERTS, LLC
Entity Type:Organization
Organization Name:IMS EXPERTS, LLC
Other - Org Name:INNOVATIVE MEDICAL SOLUTIONS EXPERTS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-453-9767
Mailing Address - Street 1:1696 COUNTRY CLUB DRVIE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2625
Mailing Address - Country:US
Mailing Address - Phone:817-453-9767
Mailing Address - Fax:817-473-1839
Practice Address - Street 1:1696 COUNTRY CLUB DRVIE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2625
Practice Address - Country:US
Practice Address - Phone:817-453-9767
Practice Address - Fax:817-473-1839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZE0600X, 332B00000X
TX0099159332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
105834200OtherUSDL
TX0000531616OtherBLUE CROSS BLUE SHIELD
555583OtherPMSI
TX4335910OtherCIGNA
TX0007815506OtherAETNA
TX2843070-01Medicaid
TX=========-00OtherBUREAU OF WORKERS COMP
=========OtherHOMELINK
TX5817710002Medicare NSC
TX0000531616OtherBLUE CROSS BLUE SHIELD
TX=========OtherCHOICE CARE NETWORK
TX=========OtherUNITED HEALTHCARE