Provider Demographics
NPI:1831757681
Name:AIM DESIGN & DEVELOPMENT, LLC
Entity type:Organization
Organization Name:AIM DESIGN & DEVELOPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CONTRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:AVILA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-250-2611
Mailing Address - Street 1:16 REDONDO LN
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81005-2953
Mailing Address - Country:US
Mailing Address - Phone:719-250-2611
Mailing Address - Fax:719-565-2313
Practice Address - Street 1:16 REDONDO LN
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81005-2953
Practice Address - Country:US
Practice Address - Phone:719-250-2611
Practice Address - Fax:719-565-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty