Provider Demographics
NPI:1710342399
Name:SECURE NEUROMONITORING, LLC
Entity Type:Organization
Organization Name:SECURE NEUROMONITORING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BIRNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-842-1539
Mailing Address - Street 1:25220 MONTANE DR W
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-8508
Mailing Address - Country:US
Mailing Address - Phone:303-842-1539
Mailing Address - Fax:
Practice Address - Street 1:25220 MONTANE DR W
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-8508
Practice Address - Country:US
Practice Address - Phone:303-842-1539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty