Sentinel Neuromonitoring, LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

SENTINEL NEUROMONITORING, LLC

Practice address

75 E 7200 S Ste C163
Midvale, UT 84047-5757

Phone

(281) 462-1285

Fax

(281) 462-1554

NPI assigned

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Kelly Doucet

Title

Billing Department

Phone

(281) 462-1285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1265720528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 E 7200 S STE C163",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475757",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E 7200 S STE C163",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840475757",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL NEUROMONITORING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "DOUCET",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "281-462-1285"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Midvale, UT by specialty
• Other Specialist/Technologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.