Provider Demographics
NPI:1134307531
Name:NEUROMONITORING SERVICES OF AMERICA, INC
Entity Type:Organization
Organization Name:NEUROMONITORING SERVICES OF AMERICA, INC
Other - Org Name:NEUROMONITORING SERVICES OF AMERICA, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:KURICA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-226-8576
Mailing Address - Street 1:24 SOUTH WEBER STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903
Mailing Address - Country:US
Mailing Address - Phone:866-226-8576
Mailing Address - Fax:719-387-8974
Practice Address - Street 1:24 SOUTH WEBER STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903
Practice Address - Country:US
Practice Address - Phone:866-226-8576
Practice Address - Fax:719-387-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084E0001XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyEpilepsyGroup - Multi-Specialty
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB100940Medicare PIN
CACF139ZMedicare PIN
CACF132AMedicare PIN
NC2347362Medicare PIN
CACF139YMedicare PIN
CACF132BMedicare PIN