| Organization Name: | MID-TOWN NEUROMONITORING |
| NPI Number: | 1083865778 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ADRIAN PANTHER (OWNER) |
| Mailing Address: | 607 10th St Suite 104 Golden |
| State: | CO US |
| Postal Code: | 804015817 |
| Phone Number: | 7203084567 |
| Fax Number: | 3034595180 |
| NPI Enumeration Date: | 10/01/2008 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |