Provider Demographics
NPI:1558546697
Name:SUPERIOR MONITORING ASSOCIATES LP
Entity Type:Organization
Organization Name:SUPERIOR MONITORING ASSOCIATES LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RON
Authorized Official - Middle Name:C
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-663-9514
Mailing Address - Street 1:4004 BELTLINE ROAD SUITE 207
Mailing Address - Street 2:LOCKBOX 4
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001
Mailing Address - Country:US
Mailing Address - Phone:817-663-9514
Mailing Address - Fax:817-379-0892
Practice Address - Street 1:4004 BELTLINE ROAD SUITE 207
Practice Address - Street 2:LOCKBOX 4
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-4370
Practice Address - Country:US
Practice Address - Phone:817-663-9514
Practice Address - Fax:817-379-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory