NPIMap

Organization Active NPI

Neuromonitoring Associates, LLC

  • Physiological Laboratory
  • Colorado Springs, CO
National Provider Identifier
1295859296
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEUROMONITORING ASSOCIATES, LLC
Practice address
4164 Austin Bluffs Pkwy # 603
Colorado Springs, CO 80918-2928
Phone
(303) 756-9764
NPI assigned
Mar 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Nick Luekenga
Title
Ceo
Phone
(801) 808-9538

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

4164 Austin Bluffs Pkwy # 603
Colorado Springs, CO 80918-2928

Mailing address

Dept 880257 PO Box 29650
Phoenix, AZ 85038-9650
Phone (303) 756-9764

Other names 1

  • OverWatch Neuro Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1295859296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 880257 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "303-756-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 AUSTIN BLUFFS PKWY # 603",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182928",
            "telephone_number": "303-756-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMONITORING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-808-9538"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OverWatch Neuro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.