OrganizationActive
Advanced Neuro Monitoring LLC
NPI 1922409903 · Surgical Technologist · Tulsa, OK
Provider details
- NPI number
- 1922409903
- Entity type
- Organization
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Trase Mahan, Manager
Practice location
9521 Riverside Pkwy Ste B
Sute 338
Tulsa, OK 74137-7422
Phone: (214) 675-0905
Fax: (214) 317-4888
Mailing address
Po Box 108809
Oklahoma City, OK 73101-8809
Registry dates
- Enumerated
- 2014-09-10
- Last updated
- 2014-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.