5280 IOM PRO LLC NPI 1144779380

NPI Information

  • NPI: 1144779380
  • Provider Name: 5280 IOM PRO, LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 1700 BASSETT ST UNIT 1021
    DENVER, CO
    ZIP 80202
  • Phone: (346) 221-1597

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NPI Details

5280 IOM PRO, LLC is a clinical neurophysiology psychiatry neurology in Denver, CO. 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). 5280 IOM PRO, LLC NPI is 1144779380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 BASSETT ST UNIT 1021
DENVER, CO
ZIP 80202-921
Phone: (346) 221-1597
Fax: (832) 581-4677

The provider's authorized official is Julieann Bishop .
The authorized official title is Co-owner and has the following contact phone number (346) 221-1597.

The enumeration date for this NPI number is 9/29/2016 and was last updated on 9/29/2016.

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 NeurophysiologyCOLORADOYes

What is NPI?

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

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