Provider Demographics
NPI:1295374510
Name:ALASKA PROFESSIONAL NEUROMONITORING, LLC
Entity Type:Organization
Organization Name:ALASKA PROFESSIONAL NEUROMONITORING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-253-7432
Mailing Address - Street 1:LB 357724
Mailing Address - Street 2:PO BOX 3577
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3577
Mailing Address - Country:US
Mailing Address - Phone:936-205-8592
Mailing Address - Fax:
Practice Address - Street 1:10672 KENAI SPUR HIGHWAY
Practice Address - Street 2:SUITE 112 -132
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-9961
Practice Address - Country:US
Practice Address - Phone:713-253-7432
Practice Address - Fax:225-612-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty