Provider Demographics
NPI:1780831438
Name:INTRAOPERATIVE MONITORING SERVICES LLC
Entity Type:Organization
Organization Name:INTRAOPERATIVE MONITORING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOYLE-LAVENUE
Authorized Official - Suffix:
Authorized Official - Credentials:CNIM
Authorized Official - Phone:480-277-0043
Mailing Address - Street 1:1520 S DOBSON RD
Mailing Address - Street 2:STE 211
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-4725
Mailing Address - Country:US
Mailing Address - Phone:480-969-5735
Mailing Address - Fax:480-969-5742
Practice Address - Street 1:1520 S DOBSON RD
Practice Address - Street 2:STE 211
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-4725
Practice Address - Country:US
Practice Address - Phone:480-969-5735
Practice Address - Fax:480-969-5742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty