Provider Demographics
NPI:1184755720
Name:INTERIOR MOBILITY SYSTEMS LLC
Entity type:Organization
Organization Name:INTERIOR MOBILITY SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:INGRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-457-8486
Mailing Address - Street 1:915 30TH AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-7509
Mailing Address - Country:US
Mailing Address - Phone:907-457-8486
Mailing Address - Fax:907-457-8488
Practice Address - Street 1:915 30TH AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-7509
Practice Address - Country:US
Practice Address - Phone:907-457-8486
Practice Address - Fax:907-457-8488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK309899171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty