AZLEVERSE NEUROMONITORING LLC
NPI 1295121440
Specialist in Fort Worth, TX

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since April 14, 2015

500 THROCKMORTON STREET UNIT 3012, FORT WORTH, TX 76102(817) 908-5292(817) 885-7339 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Specialist

About AZLEVERSE NEUROMONITORING LLC

This page provides the complete NPI Profile along with additional information for Azleverse Neuromonitoring Llc, a provider established in Fort Worth, Texas operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1295121440 assigned on April 2015. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Augusto C Lastimosa M.d. (Managing Member)

NPI: 1295121440 Verify this NPI
Provider Name: AZLEVERSE NEUROMONITORING LLC
Entity Type: Organization
Location Address: 500 THROCKMORTON STREET UNIT 3012 FORT WORTH, TX 76102
Location Phone: (817) 908-5292
Location Fax: (817) 885-7339
Mailing Address: 500 THROCKMORTON STREET UNIT 3012 FORT WORTH, TX 76102
Mailing Phone: (817) 908-5292
Mailing Fax: (817) 885-7339
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-14-2015
Last Update Date: 04-14-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Specialist
Taxonomy Code: 174400000X
Type: Other Service Providers
Taxonomy Description: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. AUGUSTO C LASTIMOSA M.D.
Authorized Official Title: MANAGING MEMBER
Authorized Official Phone: (817) 366-4777