Organization
STANDARD IOM, LLC
Active
Organization
STANDARD IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD ALLEN (PRESIDENT)
(480) 201-1843
Entity
Organization
Contact information
Practice address
5115 N DYSART RD STE 202 #197, LITCHFIELD PARK, AZ 85340-3036
(480) 201-1843
Mailing address
5115 N DYSART RD STE 202 #197, LITCHFIELD PARK, AZ 85340-3036
(480) 201-1843
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/15/2016
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