INTRAOPERATIVE NEUROLOGICAL MONITORING DIAGNOSTICS, LLC


Address: 1990 Mcculloch Blvd N # D281, Lake Havasu City, AZ 86403-5749
Phone: 2813245660

INTRAOPERATIVE NEUROLOGICAL MONITORING DIAGNOSTICS, LLC (NPI# 1043613987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043613987
Entity Type Organization
Organization Name INTRAOPERATIVE NEUROLOGICAL MONITORING DIAGNOSTICS, LLC
Other Organization Name ION.MD
Practice Address 1990 Mcculloch Blvd N # D281
Lake Havasu City
AZ 86403-5749
Practice Telephone 2813245660
Practice Fax Number 2813245679
Mailing Telephone 2813245660
Mailing Fax Number 2813245679
Enumeration Date 2014-10-07
Last Update Date 2014-10-07
Authorized Official Name BRIAN CASTLE (PRESIDENT)
Authorized Official Telephone 2813245660
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers

Other Provider/Organization Names

Other Name Type Code
Ion.MD Doing Business As Name - Organization

Office Location

Street Address 1990 MCCULLOCH BLVD N # D281
City LAKE HAVASU CITY
State AZ
Zip Code 86403-5749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942606843 Reflex Reading, LLC Psychiatry & Neurology 1990 Mcculloch Blvd N # D281, Lake Havasu City, AZ 86403-5749 2014-11-05

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NPI Name Taxonomy Address Enumeration
1104479039 Liska's Apothecary Shop, Inc. Assisted Living Facility 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 2019-07-19
1275033227 Ayad Costy Pharmacist 75 North Lake Havasu City, Lake Havasu City, AZ 86403 2018-02-16
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1063965036 Cerner Health Connections, Inc Clinic/Center 89 Civic Center Blvd, Lake Havasu City, AZ 86403 2016-07-26
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1912301425 Arizona Havasu Bdm Pak LLC Dentist 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 2014-10-13
1386047850 Emily E Vona Nurse Practitioner 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 2014-09-29
1750700589 Thomas Wennergren Pharmacist 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 2014-04-09
1285997460 Jamie L Lemire Pharmacist 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 2012-06-21
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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407202989 Jeremy Burress Specialist/Technologist, Other 2451 Seabring Dr, Lake Havasu City, AZ 86403-3156 2016-05-13
1124429824 Tyler Savage Specialist/Technologist, Other 3333 Chemehuevi Blvd, Lake Havasu City, AZ 86406-7143 2014-09-12
1316319460 Sarah Fraser Specialist/Technologist, Other 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 2015-10-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720688294 Kathy Hoang Specialist/Technologist, Other 2131 E Broadway Rd Ste 22, Tempe, AZ 85282-1737 2020-10-26
1609492743 Alberto Aguilar Rodriguez Specialist/Technologist, Other 21012 S 194th St, Queen Creek, AZ 85142-8804 2020-06-24
1982199915 Donna Lowe Specialist/Technologist, Other 5115 N Dysart Rd # 202-197, Litchfield Park, AZ 85340-3032 2018-06-22
1235665050 Allegiant Diagnostics, LLC Specialist/Technologist, Other 15508 W Bell Rd Ste 101, Pmb #411, Surprise, AZ 85374-2432 2017-05-11
1366987265 Jing Zhang Specialist/Technologist, Other 2301 E Sanoque Ct, Gilbert, AZ 85298-6124 2016-12-31
1093257305 Meagan Re Specialist/Technologist, Other 3131 N 70th St, Scottsdale, AZ 85251-6383 2016-11-17
1699217919 Christopher Townsend Specialist/Technologist, Other 7161 E Rancho Vista Dr, Unit 4005, Scottsdale, AZ 85251-1495 2016-11-17
1588112072 Standard Iom, LLC Specialist/Technologist, Other 5115 N Dysart Rd Ste 202 #197, Litchfield Park, AZ 85340-3036 2016-09-14
1295283794 Standard Monitoring LLC Specialist/Technologist, Other 5115 N Dysart Rd Ste 202 No 197, Litchfield Park, AZ 85340-3036 2016-09-14
1679920961 Spine Ionm, LLC Specialist/Technologist, Other 8326 W Corrine Dr, Peoria, AZ 85381-5171 2016-05-17
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Competitor

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City LAKE HAVASU CITY
Zip Code 86403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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