Provider Demographics
NPI:1962710871
Name:ELITE NEUROMONITORING
Entity type:Organization
Organization Name:ELITE NEUROMONITORING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CULBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CNIM
Authorized Official - Phone:303-968-7824
Mailing Address - Street 1:5450 WADSWORTH BYP UNIT B
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3715
Mailing Address - Country:US
Mailing Address - Phone:303-968-7824
Mailing Address - Fax:
Practice Address - Street 1:5450 WADSWORTH BYP UNIT B
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3715
Practice Address - Country:US
Practice Address - Phone:303-968-7824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty