Organization
MONITORING ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK LUEKENGA (CEO OWNER)
(855) 864-4322
Entity
Organization
Contact information
Practice address
9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV 89117
(855) 864-4322
Mailing address
DEPT 880256, PO BOX 29650, PHOENIX, AZ 85038-9650
(855) 864-4322
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174916522
—
MN
05
—
300015388
—
IN
05
—
300015741
—
IN
05
—
300018099
—
IN
05
—
300018261
—
IN
05
—
300018278
—
IN
05
—
300018292
—
IN
05
—
300018331
—
IN
05
—
300018408
—
IN
05
—
300018411
—
IN
05
—
300018414
—
IN
05
—
Q048234
—
TN
Enumeration date
03/10/2015
Last updated
01/19/2023
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