Provider Demographics
NPI:1093854473
Name:ADVANCED MONITORING SERVICES LLC
Entity Type:Organization
Organization Name:ADVANCED MONITORING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:877-295-2554
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-0845
Mailing Address - Country:US
Mailing Address - Phone:877-295-2554
Mailing Address - Fax:479-445-6091
Practice Address - Street 1:3497 WAGON WHEEL RD
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-0115
Practice Address - Country:US
Practice Address - Phone:877-295-2554
Practice Address - Fax:479-445-6091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5G133Medicare PIN