| Organization Name: | DOCOPSIOM, LLC |
| NPI Number: | 1033552328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL LICHTMAN (MEMBER) |
| Mailing Address: | 4271 E Maya Way Cave Creek |
| State: | AZ US |
| Postal Code: | 853312618 |
| Phone Number: | 6022921455 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2013 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | 1721 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |