NPIMap

Organization Active NPI

Advanced Iom Specialists

  • Electroneurodiagnostic Specialist/Technologist
  • Tumwater, WA
National Provider Identifier
1063814440
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
ADVANCED IOM SPECIALISTS
Practice address
3046 Banks LN SW
Tumwater, WA 98512-1450
Phone
(360) 870-0265
NPI assigned
Sep 17, 2014
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Rebecca Marsh
Title
Business Manager
Phone
(360) 870-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

3046 Banks LN SW
Tumwater, WA 98512-1450

Mailing address

3046 Banks LN SW
Tumwater, WA 98512-1450
Phone (360) 870-0265

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1063814440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 BANKS LN SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121450",
            "telephone_number": "360-870-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 BANKS LN SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121450",
            "telephone_number": "360-870-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IOM SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "360-870-0265"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.