Organization
CENTRAL NEUROMONITORING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SIBILLE CNIM (NEURO-DIAGNOSTIC TECHNICIAN)
(337) 781-6959
Entity
Organization
Contact information
Practice address
101 STEVE ST, LAFAYETTE, LA 70503-6047
(337) 781-6959
Mailing address
3526 LAKEVIEW PKWY STE B202, ROWLETT, TX 75088-4176
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/07/2024
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