NPIMap

Organization Active NPI

Professional Intraoperative Monitoring LLC

  • Other Technician
  • Gilbert, AZ
National Provider Identifier
1659528305
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
467 Issued in AZ
Legal business name
PROFESSIONAL INTRAOPERATIVE MONITORING LLC
Practice address
2730 S Val Vista Dr
Suite 140
Gilbert, AZ 85295-1679
Phone
(480) 277-0043
Fax
(480) 969-5742
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Rebecca Doyle-Lavenue, CNIM
Title
President
Phone
(480) 277-0043

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X
Other TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247200000X 467 AZ Primary

Addresses

Primary practice location

2730 S Val Vista Dr
Suite 140
Gilbert, AZ 85295-1679

Mailing address

560 N. Benson LN
Chandler, AZ 85224-4138
Phone (480) 277-0043

National Provider Directory

National Provider Directory

Locations

146 S Gilbert Rd
Gilbert, AZ 85296
Phone (480) 926-0644

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1659528305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N. BENSON LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244138",
            "telephone_number": "480-277-0043",
            "fax_number": "480-969-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR",
            "address_2": "SUITE 140",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951679",
            "telephone_number": "480-277-0043",
            "fax_number": "480-969-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL INTRAOPERATIVE MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "DOYLE-LAVENUE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-277-0043",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "AZ",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.