Organization Active NPI

Surgical Monitoring Professionals, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Memphis, TN
National Provider Identifier
1144573130
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
SURGICAL MONITORING PROFESSIONALS, LLC
Practice address
419 Fairfield Cir W
Memphis, TN 38117-4119
Phone
(901) 254-6510
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Allen Rasoul
Title
President
Phone
(901) 254-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

419 Fairfield Cir W
Memphis, TN 38117-4119

Mailing address

419 Fairfield Cir W
Memphis, TN 38117-4119
Phone (901) 254-6510

National Provider Directory

National Provider Directory

Locations

3251 Poplar Ave
Ste 150
Memphis, TN 38111

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1144573130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 FAIRFIELD CIR W",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174119",
            "telephone_number": "901-254-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 FAIRFIELD CIR W",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174119",
            "telephone_number": "901-254-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL MONITORING PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "RASOUL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-254-6510"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.