NPI 1043613987

Intraoperative Neurological Monitoring Diagnostics, LLC

Organisation Electroneurodiagnostic Specialist/Technologist Lake Havasu City, AZ

Practice location

Address: 1990 McCulloch Blvd N # D281, Lake Havasu City, AZ 86403-5749
Phone: (281) 324-5660
Fax: (281) 324-5679

Authorised official

Name: Brian Castle
Title: President
Phone: (281) 324-5660

Registered specialties

Electroneurodiagnostic Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZE0600X

Other Specialist/Technologist, Other providers in Arizona →

Registry record

NPI: 1043613987
Entity type: Organization
NPI issued: 7 Oct 2014
Record last updated: 7 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.