Organization
CBW NEUROMONITORING, LLC
Active
Organization
CBW NEUROMONITORING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA ALDERETE (LEGAL OPERATIONS MANAGER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
333 N ALABAMA ST STE 350, INDIANAPOLIS, IN 46204
(317) 559-4749
Mailing address
MSC 698 PO BOX 660046, DALLAS, TX 75266-0046
(317) 559-4749
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/10/2018
Last updated
06/17/2021
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