Tbi3 Nevada LLC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

TBI3 NEVADA LLC

Practice address

400 Shadow LN
Las Vegas, NV 89106-4363

Phone

(702) 340-0562

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Amanda Rutledge

Title

Coo

Phone

(936) 648-5161

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1417520313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 W PEBBLE RD UNIT 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064363",
            "telephone_number": "702-340-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBI3 NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "936-648-5161"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aaron.l@tbi3.com",
            "affiliation": "N",
            "address_1": "400 Shadow Ln",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891064363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Other Specialist/Technologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.