Provider Demographics
NPI:1710367727
Name:IONM SERVICES LLC
Entity Type:Organization
Organization Name:IONM SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-988-7801
Mailing Address - Street 1:6825 S GALENA ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3715
Mailing Address - Country:US
Mailing Address - Phone:720-988-7801
Mailing Address - Fax:
Practice Address - Street 1:6825 S GALENA ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3715
Practice Address - Country:US
Practice Address - Phone:720-988-7801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty