Authentek Iom, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

AUTHENTEK IOM, LLC

Practice address

4418 Clairson CT
Palm Harbor, FL 34685-2647

Phone

(269) 921-2811

NPI assigned

Aug 11, 2017

Last updated

Aug 11, 2017By 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

Mr. Ryan A Londot, CNIM

Title

Manager

Phone

(269) 921-2811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1922523828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 CLAIRSON CT",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852647",
            "telephone_number": "269-921-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 CLAIRSON CT",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852647",
            "telephone_number": "269-921-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTEK IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "LONDOT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-921-2811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlas Health Centers (EPIC Clinics - Palm Harbor)
• Melissa Karen Aull, PMHNP
• Brian Keith Aurich, MSPT
• Ava Kerolos LLC (Good Samaritan Pharmacy)
• Nicholas Abraam Awad, PHARMD
• Robert Awrey
• B. Ronald Lopez, M.D.P.a.
• Lalana Babugowda, MD

• Electroneurodiagnostic Specialist/Technologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Electroneurodiagnostic Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; 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.