Organization
AUTHENTEK IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN A LONDOT CNIM (MANAGER)
(269) 921-2811
Entity
Organization
Contact information
Practice address
4418 CLAIRSON CT, PALM HARBOR, FL 34685-2647
(269) 921-2811
Mailing address
4418 CLAIRSON CT, PALM HARBOR, FL 34685-2647
(269) 921-2811
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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