Provider Demographics
NPI:1316370877
Name:AXIOM MONITORING SERVICES, LLC
Entity Type:Organization
Organization Name:AXIOM MONITORING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-496-3931
Mailing Address - Street 1:14007 S BELL RD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:HOMER GLEN
Mailing Address - State:IL
Mailing Address - Zip Code:60491-8463
Mailing Address - Country:US
Mailing Address - Phone:855-496-3931
Mailing Address - Fax:815-531-0475
Practice Address - Street 1:14007 S BELL RD
Practice Address - Street 2:SUITE 143
Practice Address - City:HOMER GLEN
Practice Address - State:IL
Practice Address - Zip Code:60491-8463
Practice Address - Country:US
Practice Address - Phone:855-496-3931
Practice Address - Fax:815-531-0475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-19
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty