Organization
HOMETOWN NEURODIAGNOSTICS-COLORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA L MATHEW (ADMINISTRATOR)
(405) 286-1016
Entity
Organization
Contact information
Practice address
200 UNION BLVD, STE. 200, LAKEWOOD, CO 80228-1830
(405) 286-1016
(405) 242-2016
Mailing address
200 UNION BLVD, STE. 200, LAKEWOOD, CO 80228-1830
(405) 286-1016
(405) 242-2016
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
05/06/2026
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