Innovation Neuromonitoring, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

INNOVATION NEUROMONITORING, LLC

Practice address

101C North Greenville Ave
Suite 239
Allen, TX 75002

Phone

(214) 551-0257

NPI assigned

Feb 16, 2016

Organization subpart

No

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

Authorized official

Name

Anthony Long

Title

Ceo

Phone

(214) 551-0257

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1063871275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101C NORTH GREENVILLE AVE",
            "address_2": "SUITE 239",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "214-551-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101C NORTH GREENVILLE AVE",
            "address_2": "SUITE 239",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75002",
            "telephone_number": "214-551-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-551-0257"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Allen, TX
• Providers in Allen, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.