Provider Demographics
NPI:1215295290
Name:MONITECH LLC
Entity type:Organization
Organization Name:MONITECH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VADHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-673-0222
Mailing Address - Street 1:1120 NASA PKWY
Mailing Address - Street 2:SUITE 410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3320
Mailing Address - Country:US
Mailing Address - Phone:281-673-0222
Mailing Address - Fax:832-864-3731
Practice Address - Street 1:1120 NASA PKWY
Practice Address - Street 2:SUITE 410
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3320
Practice Address - Country:US
Practice Address - Phone:281-673-0222
Practice Address - Fax:832-864-3731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory