VIVID NEUROMONITORING LLC NPI 1316403959

NPI Information

NPI: 1316403959
Provider Name: VIVID NEUROMONITORING, LLC
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
503 MEDICAL CENTER BLVD STE 110
CONROE, TX
ZIP 77304
Phone: (936) 756-3444
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VIVID NEUROMONITORING, LLC is an electroneurodiagnostic specialist technologist other in Conroe, TX. VIVID NEUROMONITORING, LLC NPI is 1316403959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

503 MEDICAL CENTER BLVD STE 110
CONROE, TX
ZIP 77304-928
Phone: (936) 756-3444

The provider's authorized official is Anisa Gopalani .
The authorized official title is Physician Partner and has the following contact phone number (832) 236-5922.

The enumeration date for this NPI number is 2/19/2019 and was last updated on 2/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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