# PEAK NEURO MONITORING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peak Neuromonitoring LLC, OverWatch Neuro
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871000588
- **Authorized official:** DOREEN SHINN (VP)
- **Authorized official phone:** (303) 704-4621

## Contact information

- **Practice address:** 4164 AUSTIN BLUFFS PKWY UNIT 603, COLORADO SPRINGS, CO 80918-2928
- **Practice address phone:** (303) 704-4621
- **Mailing address:** DEPT 880257 PO BOX 29650, PHOENIX, AZ 85038-9650
- **Mailing address phone:** (303) 704-4621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204R00000X | Electrodiagnostic Medicine Physician | — | NULL | — |
| 204R00000X | Electrodiagnostic Medicine Physician | — | — | — |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist | — | NULL | — |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist | — | — | — |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 01/03/2018
- **Last updated:** 12/08/2022