Intraoperative Monitoring Assoc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTRAOPERATIVE MONITORING ASSOC

Practice address

1817 W. 800 N
Salt Lake City, UT 84025

Phone

(505) 836-7894

Fax

(888) 315-4512

NPI assigned

May 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Nick Luekenga

Title

Owner

Phone

(801) 920-1171

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1336467422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 MENAUL BLVD. A211",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122260",
            "telephone_number": "505-836-7894",
            "fax_number": "888-315-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 W. 800 N",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84025",
            "telephone_number": "505-836-7894",
            "fax_number": "888-315-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAOPERATIVE MONITORING ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "LUEKENGA",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-920-1171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Med- Interventional Cardiology- Department of University of U
• Internal Med-Micu/Department of University of Utah
• Internal Medicine-Hepatology- Department of University of Utah
• Intero LLC
• Intrafilrx LLC
• Intuitive Athlete
• Lawrence Ashton Iongi
• Caitlin Boling Iorio, MD
• Walter Ipina
• Theresa Ipolito, CSW

• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.