Provider Demographics
NPI:1215585435
Name:VALLEY NEUROMONITORING PLC
Entity Type:Organization
Organization Name:VALLEY NEUROMONITORING PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:LUNDQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:626-535-9777
Mailing Address - Street 1:14175 W INDIAN SCHOOL RD STE B4-491
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-8407
Mailing Address - Country:US
Mailing Address - Phone:623-535-9777
Mailing Address - Fax:623-236-3179
Practice Address - Street 1:15547 N REEMS RD STE A
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9583
Practice Address - Country:US
Practice Address - Phone:623-535-9777
Practice Address - Fax:623-236-3179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty