Organization Name: | NEURODIAGNOSTICS AND NEUROMONITORING INSTITUTE INC. |
NPI Number: | 1801298757 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT LANCE LAROQUE (PRESIDENT) |
Mailing Address: | 3502 Paesanos Pkwy Suite 140 Shavano Park |
State: | TX US |
Postal Code: | 782311225 |
Phone Number: | 2105662333 |
Fax Number: | 2105987268 |
NPI Enumeration Date: | 09/23/2014 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |