Intraoperative Neurological Monitoring Diagnostics, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

INTRAOPERATIVE NEUROLOGICAL MONITORING DIAGNOSTICS, LLC

Doing business as

Ion.MD

Practice address

1990 McCulloch Blvd N # D281
Lake Havasu City, AZ 86403-5749

Phone

(281) 324-5660

Fax

(281) 324-5679

NPI assigned

Oct 7, 2014

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Castle

Title

President

Phone

(281) 324-5660

Specialties & licenses 1

Addresses

Other names 1

• Ion.MD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1043613987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 MCCULLOCH BLVD N # D281",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035749",
            "telephone_number": "281-324-5660",
            "fax_number": "281-324-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 MCCULLOCH BLVD N # D281",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035749",
            "telephone_number": "281-324-5660",
            "fax_number": "281-324-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAOPERATIVE NEUROLOGICAL MONITORING DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "CASTLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-324-5660"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ion.MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Innovative Primary Care of Lake Havasu LLC
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• Institute for Male Health&Performance LLC
• Integrated Wellness Club
• Integrative Oncology Strategies,LLC
• Valerie Pratt Israel, D.O.
• Daniel Itano, D.O.
• Kartik Iyer, MD
• Kevin Anthony Jackson
• Jaidyn Med Care LTD (Powar Pain Clinic)

• Electroneurodiagnostic Specialist/Technologist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Electroneurodiagnostic Specialist/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.