Healthcare Provider Details

I. General information

NPI: 1609367606
Provider Name (Legal Business Name): SBS NEUROMONITORING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2018
Last Update Date: 05/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3798 VETERANS MEMORIAL BLVD STE 200
METAIRIE LA
70002-5837
US

IV. Provider business mailing address

3798 VETERANS MEMORIAL BLVD STE 200
METAIRIE LA
70002-5837
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-0141
  • Fax: 504-885-2465
Mailing address:
  • Phone: 504-454-0141
  • Fax: 504-885-2465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. NAJEEB THOMAS
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 504-454-0141