Intra-op Monitoring Services, Llc | |
76 Starbrush Cir Covington LA 70433 | |
(866) 845-4595 | |
(866) 845-8810 |
Full Name | Intra-op Monitoring Services, Llc |
---|---|
Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
Location | 76 Starbrush Cir, Covington, Louisiana |
Authorized Official Name and Position | Roderick G. Johnson (CEO) |
Authorized Official Contact | 8668454595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Intra-op Monitoring Services, Llc 76 Starbrush Cir Covington LA 70433 Ph: (866) 845-4595 | Intra-op Monitoring Services, Llc 76 Starbrush Cir Covington LA 70433 Ph: (866) 845-4595 |
NPI Number | 1154404275 |
---|---|
Provider Enumeration Date | 10/23/2006 |
Last Update Date | 03/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154404275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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