Az Neuromonitoring LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

AZ NEUROMONITORING LLC

Practice address

10105 E Via Linda
Ste 103-274
Scottsdale, AZ 85258-5311

Phone

(480) 282-8535

NPI assigned

Oct 11, 2007

Last updated

Jul 21, 2012By 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

Dean Chichelli, CNIM, R.EEGT

Title

Owner

Phone

(480) 282-8535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342828800000",
    "number": "1740478072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321288",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA",
            "address_2": "STE 103-274",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585311",
            "telephone_number": "480-282-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2012-07-21",
        "status": "A",
        "authorized_official_last_name": "CHICHELLI",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-282-8535",
        "authorized_official_credential": "CNIM, R.EEGT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physiological Laboratory in Arizona

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