| Organization Name: | NEURASSURE, LLC |
| NPI Number: | 1841644374 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT LAROQUE (PRESIDENT) |
| Mailing Address: | 5830 Nw Expressway # 325 Warr Acres |
| State: | OK US |
| Postal Code: | 731325239 |
| Phone Number: | 2108549488 |
| Fax Number: | 2105987268 |
| NPI Enumeration Date: | 04/21/2016 |
| NPI Last Update Date: | 04/21/2016 |
| 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: | |