Active NPI
Surgical Monitoring Professionals, LLC
- Electroneurodiagnostic Specialist/Technologist
- Memphis, TN
National Provider Identifier
1144573130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 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 DirectoryLocations
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.