Precision Neuro Monitoring LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

PRECISION NEURO MONITORING LLC

Practice address

1955 W Baseline Rd
Ste 113-431
Mesa, AZ 85202-9003

Phone

(602) 926-7050

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Trina L Keith

Title

Operations Manager

Phone

(602) 926-7050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1083906325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 W BASELINE RD",
            "address_2": "STE 113-431",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029003",
            "telephone_number": "602-926-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W BASELINE RD",
            "address_2": "STE 113-431",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029003",
            "telephone_number": "602-926-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION NEURO MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "602-926-7050"
    },
    "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 Mesa, AZ
• Providers in Mesa, 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 Jun 22, 2011; 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.