Organization
SPINE-TEK NEUROMONITORING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERICA LENN SEAGRAVE CNIM (PRESIDENT)
(317) 503-1350
Entity
Organization
Contact information
Practice address
3209 W SMITH VALLEY RD STE 205, GREENWOOD, IN 46142-8510
(317) 503-1350
(317) 534-3175
Mailing address
PO BOX 301, FAIRLAND, IN 46126-0301
(317) 503-1350
(317) 534-3175
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
09/26/2018
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