Provider Demographics
NPI:1730922519
Name:AXESS IMS
Entity type:Organization
Organization Name:AXESS IMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-747-4787
Mailing Address - Street 1:10949 E PEAKVIEW AVE UNIT B4
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6804
Mailing Address - Country:US
Mailing Address - Phone:303-747-4787
Mailing Address - Fax:
Practice Address - Street 1:10949 E PEAKVIEW AVE UNIT B4
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6804
Practice Address - Country:US
Practice Address - Phone:303-747-4787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment