Artemis Intraoperative Monitoring LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

ARTEMIS INTRAOPERATIVE MONITORING LLC

Practice address

15305 Dallas Pkwy Ste 300
Addison, TX 75001-6470

Phone

(214) 810-3449

Fax

(972) 476-0771

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Koutinas, CNIM R.EP TNPI 1093849812

Title

Ceo

Phone

(469) 226-8398

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana C Koutinas, C.N.I.M., R.EP T

  • Electroneurodiagnostic Specialist/Technologist
  • Addison, TX
  • NPI 1093849812
  Authorized official Same address or phone

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1689119075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016470",
            "telephone_number": "214-810-3449",
            "fax_number": "972-476-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 DALLAS PKWY STE 300",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016470",
            "telephone_number": "214-810-3449",
            "fax_number": "972-476-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTEMIS INTRAOPERATIVE MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "KOUTINAS",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-226-8398",
        "authorized_official_credential": "CNIM R.EP T"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Addison, TX
• Providers in Addison, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.