Active Neuromonitoring LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

ACTIVE NEUROMONITORING LLC

Practice address

1451 W Cypress Creek Rd
Suite 300
Fort Lauderdale, FL 33309-1961

Phone

(954) 446-7446

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Latoya Friday

Title

Co-Owner

Phone

(954) 446-7446

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1689063208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD",
            "address_2": "SUITE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091961",
            "telephone_number": "954-446-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 W CYPRESS CREEK RD",
            "address_2": "SUITE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091961",
            "telephone_number": "954-446-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "FRIDAY",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "954-446-7446"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.