Organization
TBI3 NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RUTLEDGE (COO)
(936) 648-5161
Entity
Organization
Contact information
Practice address
400 SHADOW LN, LAS VEGAS, NV 89106-4363
(702) 340-0562
Mailing address
2835 W PEBBLE RD UNIT 503, LAS VEGAS, NV 89123-6499
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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