| Organization Name: | VISTA NEUROMONITORING, LLC |
| NPI Number: | 1679837918 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATALIA KELLEY (MANAGER) |
| Mailing Address: | 10099 Ridgegate Pkwy Suite 480 Lonetree |
| State: | CO US |
| Postal Code: | 801245531 |
| Phone Number: | 3037901800 |
| Fax Number: | |
| NPI Enumeration Date: | 07/02/2012 |
| NPI Last Update Date: | 07/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | EEG |
| Taxonomy Definition: | |