NPI 1043730559
Monument Diagnostics LLC
Practice location
- Address
- 4579 Laclede Ave Pmb #282, Saint Louis, MO 63108-2103
- Phone
- (314) 627-0214
Authorised official
- Name
- Timothy Delong
- Title
- Npi Representative
- Phone
- (210) 598-2800
Registered specialties (2)
Clinical Neurophysiology Physician
Primary
Electroneurodiagnostic Specialist/Technologist
Registry record
- NPI
- 1043730559
- Entity type
- Organization
- NPI issued
- 26 Jun 2017
- Record last updated
- 17 Nov 2017
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.