Provider Demographics
NPI:1730645144
Name:THE NEUROMONITORING GROUP, LP
Entity type:Organization
Organization Name:THE NEUROMONITORING GROUP, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:LINNEA
Authorized Official - Last Name:TEART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-755-1921
Mailing Address - Street 1:4570 AVERY LN SE STE C-154
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-5608
Mailing Address - Country:US
Mailing Address - Phone:480-755-1921
Mailing Address - Fax:360-925-3470
Practice Address - Street 1:107 AUTUMN WAY
Practice Address - Street 2:
Practice Address - City:VENETIA
Practice Address - State:PA
Practice Address - Zip Code:15367-2308
Practice Address - Country:US
Practice Address - Phone:412-977-7364
Practice Address - Fax:412-429-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty