Provider Demographics
NPI:1861609141
Name:IAP INC
Entity type:Organization
Organization Name:IAP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:ANCA
Authorized Official - Last Name:PUSCARIU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-435-9259
Mailing Address - Street 1:605 WHITE OAK LANE
Mailing Address - Street 2:
Mailing Address - City:GLADSTONE
Mailing Address - State:MO
Mailing Address - Zip Code:64116-4606
Mailing Address - Country:US
Mailing Address - Phone:816-454-4041
Mailing Address - Fax:
Practice Address - Street 1:2700 CLAY EDWARDS DR
Practice Address - Street 2:SUITE 360
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3251
Practice Address - Country:US
Practice Address - Phone:816-471-2414
Practice Address - Fax:816-471-3763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000170155261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)