MONUMENT DIAGNOSTICS LLC NPI 1043730559

NPI Information

  • NPI: 1043730559
  • Provider Name: MONUMENT DIAGNOSTICS LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 4579 LACLEDE AVE
    PMB #282
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 627-0214

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NPI Details

MONUMENT DIAGNOSTICS LLC is a clinical neurophysiology psychiatry neurology in Saint Louis, MO. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). MONUMENT DIAGNOSTICS LLC NPI is 1043730559. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4579 LACLEDE AVE
PMB #282
SAINT LOUIS, MO
ZIP 63108-103
Phone: (314) 627-0214

The provider's authorized official is Timothy Delong .
The authorized official title is Npi Representative and has the following contact phone number (210) 598-2800.

The enumeration date for this NPI number is 6/26/2017 and was last updated on 11/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes
2246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo

What is NPI?

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This page was last updated on: 3/30/2025

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