SOUTHERN MONITORING INNOVATIONS LLC


Address: 17398 C J Dellie Rd, Saucier, MS 39574-8707
Phone: 2283926406

SOUTHERN MONITORING INNOVATIONS LLC (NPI# 1205114998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205114998
Entity Type Organization
Organization Name SOUTHERN MONITORING INNOVATIONS LLC
Practice Address 17398 C J Dellie Rd
Saucier
MS 39574-8707
Practice Telephone 2283926406
Practice Fax Number 2283963272
Mailing Telephone 2283926406
Mailing Fax Number 2283963272
Enumeration Date 2011-07-28
Last Update Date 2011-07-28
Authorized Official Name MR. FAY DAVIS NEAL (OWNER/PRESIDENT)
Authorized Official Telephone 2283926406
Authorized Official Credential C.C.P.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 17398 C J DELLIE RD
City SAUCIER
State MS
Zip Code 39574-8707

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1457680928 Thomas Anthony Mayer Specialist/Technologist, Other 22136 Houston Ladner Rd, Saucier, MS 39574-7162 2009-12-13
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1295266781 Carrie Dawson Social Worker 18055 Carson Ct, Saucier, MS 39574-7504 2017-03-25
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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1689026916 Altamic Lewis Specialist/Technologist, Other 2046 Beach Blvd Apt D103, Biloxi, MS 39531-5125 2016-07-11
1841697026 Southern Neuro Solutions Specialist/Technologist, Other 10216 3rd Ave Ste C, Diberville, MS 39540-2543 2014-12-03
1437296183 Gary Kerr II Specialist/Technologist, Other 10216 3rd Ave, Suite C, Diberville, MS 39540-2544 2007-01-31
1346847274 Devon Allred Specialist/Technologist, Other 1850 Chadwick Dr, Jackson, MS 39204-3404 2020-10-05
1134777162 Delilah Marie Brockup Specialist/Technologist, Other 4500 13th St, Gulfport, MS 39501-2515 2019-09-03
1043740608 Core Neurodiagnostics, LLC Specialist/Technologist, Other 45 Hardy Court Ctr, #230, Gulfport, MS 39507-2501 2017-06-15
1437540275 Southern Pro Read, LLC Specialist/Technologist, Other 10216 3rd Ave Ste C, Diberville, MS 39540-2543 2015-02-16
1245457662 Christi Jo Cardwell Specialist/Technologist, Other 400 Veterans Ave, Biloxi, MS 39531-2410 2007-04-19

Competitor

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City SAUCIER
Zip Code 39574

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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