Organization
PROFESSIONAL INTRAOPERATIVE MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA DOYLE-LAVENUE CNIM (PRESIDENT)
(480) 277-0043
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DR, SUITE 140, GILBERT, AZ 85295-1679
(480) 277-0043
(480) 969-5742
Mailing address
560 N. BENSON LN, CHANDLER, AZ 85224-4138
(480) 277-0043
(480) 969-5742
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
467
AZ
247200000X
Other Technician
—
—
Other
Enumeration date
08/25/2008
Last updated
01/25/2012
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