Provider Demographics
NPI:1043718836
Name:NIOM SERVICES, LLC
Entity type:Organization
Organization Name:NIOM SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNIM
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-655-1801
Mailing Address - Street 1:1501 W FERN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-3211
Mailing Address - Country:US
Mailing Address - Phone:956-655-1801
Mailing Address - Fax:956-682-2971
Practice Address - Street 1:1501 W FERN AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3211
Practice Address - Country:US
Practice Address - Phone:956-655-1801
Practice Address - Fax:956-682-2971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX823246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty