Provider Demographics
NPI:1386778140
Name:INTRAOPERATIVE MONITORING SERVICES, LLC
Entity type:Organization
Organization Name:INTRAOPERATIVE MONITORING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT PERSON
Authorized Official - Prefix:
Authorized Official - First Name:SHON
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-477-5950
Mailing Address - Street 1:PO BOX 616
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037-0616
Mailing Address - Country:US
Mailing Address - Phone:918-936-4295
Mailing Address - Fax:918-926-3688
Practice Address - Street 1:2128 S ATLANTA PLACE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1771
Practice Address - Country:US
Practice Address - Phone:918-477-5950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty