Healthcare Provider Details

I. General information

NPI: 1750625711
Provider Name (Legal Business Name): PEAK NEUROMONITORING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7330 S ALTON WAY STE C
CENTENNIAL CO
80112-2318
US

IV. Provider business mailing address

PO BOX 1288
CROSBY TX
77532-1288
US

V. Phone/Fax

Practice location:
  • Phone: 888-462-9142
  • Fax: 281-462-1554
Mailing address:
  • Phone: 888-462-9142
  • Fax: 281-462-1554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: FRANK WAINRIGHT
Title or Position: OWNER
Credential:
Phone: 888-462-9142