Organization
STRATOSPHERE MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KOUTINAS CNIM R.EP T (CEO)
(469) 226-8398
Entity
Organization
Contact information
Practice address
4900 AIRPORT PKWY, #464, ADDISON, TX 75001-3496
(469) 226-8398
Mailing address
4900 AIRPORT PKWY, #464, ADDISON, TX 75001-3496
(469) 226-8398
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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