NPI 1659528305

Professional Intraoperative Monitoring LLC

Organisation Other Technician Gilbert, AZ

Practice location

Address: 2730 S Val Vista Dr Suite 140, Gilbert, AZ 85295-1679
Phone: (480) 277-0043
Fax: (480) 969-5742
Mailing address: 560 N. Benson Ln, Chandler, AZ 85224-4138

Authorised official

Name: Rebecca Doyle-Lavenue
Title: President
Phone: (480) 277-0043

Registered specialties (2)

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 467 (AZ)

Other Technician, Other providers in Arizona →

Other Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Registry record

NPI: 1659528305
Entity type: Organization
NPI issued: 25 Aug 2008
Record last updated: 25 Jan 2012

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.