Active NPI
Ambulatory Eeg Recordings LLC
- Medical Specialty Clinic/Center
- Liberty, MO
National Provider Identifier
1295068732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- AMBULATORY EEG RECORDINGS LLC
- Practice address
- 1212 Amesbury Ave.
Liberty, MO 64068 - Phone
- (866) 682-4700
- NPI assigned
- Sep 16, 2009
- Last updated
- Sep 16, 2009
- 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
- Leslie Chase, MBA
- Title
- Ceo
- Phone
- (262) 241-1701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
1212 Amesbury Ave.
Liberty, MO 64068
Mailing address
1212 Amesbury Ave.
Liberty, MO 64068
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1295068732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 AMESBURY AVE.",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 AMESBURY AVE.",
"city": "LIBERTY",
"state": "MO",
"postal_code": "64068",
"telephone_number": "866-682-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULATORY EEG RECORDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "262-241-1701",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.