Organization
MICROFUSE 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
3535 FISHINGER BLVD #280, HILLARD, OH 43026-7504
(614) 601-5051
Mailing address
MSC 930 PO BOX 660707, DALLAS, TX 75266-0707
(614) 601-5051
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
05/04/2016
Last updated
04/06/2021
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