Provider Demographics
NPI:1396412284
Name:SPECTRUM MONITORING, LLC
Entity Type:Organization
Organization Name:SPECTRUM MONITORING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-262-0720
Mailing Address - Street 1:PO BOX 2153
Mailing Address - Street 2:DEPT 8116
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35287-8116
Mailing Address - Country:US
Mailing Address - Phone:636-675-5471
Mailing Address - Fax:360-925-3470
Practice Address - Street 1:2820 DARDENNE LINKS DR
Practice Address - Street 2:
Practice Address - City:O'FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-9741
Practice Address - Country:US
Practice Address - Phone:636-675-5471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty