MASSACHUSETTS NEURODIAGNOSTICS, LLC (NPI# 1063956555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063956555 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS NEURODIAGNOSTICS, LLC |
| Practice Address |
1500 District Ave # 2053 Burlington MA 01803-5069 |
| Mailing Address |
4545 Fuller Dr Suite 100 Irving TX 75038-6530 |
| Practice Telephone | 6176489854 |
| Practice Fax Number | 8662794704 |
| Mailing Telephone | 4699958416 |
| Mailing Fax Number | 4696803809 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | CHARLES ALVAREZ (CEO) |
| Authorized Official Telephone | 4699958416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE FAMILY OF COMPANIES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1500 DISTRICT AVE # 2053 |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01803-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219089 | Mallika Tara Iyer | Behavior Technician | 64 S Bedford Street, Burlington, MA 01803 | 2020-03-06 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1932608122 | Danielle Berkowitz | Registered Nurse | 90 Middlesex Tpke Ste G, Burlington, MA 01803 | 2018-02-02 |
| 1255861860 | David William Mahnken | Social Worker | 11a Cypress Drive, Burlington, MA 01803 | 2017-06-15 |
| 1770030710 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1300 Middlesex Turnpike, Burlington, MA 01803 | 2016-09-07 |
| 1083091557 | Burlington Eye Group, Inc | Optometrist | 74 Burlington Mall Road, Burlington, MA 01803 | 2015-05-04 |
| 1720485535 | Db2 Practice Management | Clinic/Center | 11 Cambridge St, Burlington, MA 01803 | 2014-11-21 |
| 1689081812 | Jasmit Minhas | Internal Medicine | 9 Kimball Court, Apt 112, Burlington, MA 01803 | 2014-07-21 |
| 1528404993 | Alexander David Neusner | Surgery | 40 Mall Rd, Burlington, MA 01803 | 2013-05-13 |
| 1730421389 | First Choice Dental Group | Dentist | 11 Camridge Street, Burlington, MA 01803 | 2013-03-21 |
| Find all providers in zip 01803 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093793218 | Laboratory Corporation of America Holdings | Physiological Laboratory | 1316 S Mebane St, Burlington, NC 27215-5865 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629545934 | Rmx Monitoring LLC. | Physiological Laboratory | 113 Tolman Ave Ste 1, Leominster, MA 01453-1912 | 2018-10-25 |
| 1265973697 | Solutions for Better Sleep, LLC | Physiological Laboratory | 233 Madison Pl, Southborough, MA 01772-2089 | 2017-03-18 |
| 1548659253 | Arterial Health of Ma, LLC | Physiological Laboratory | 470 Atlantic Ave, 4th Floor, Boston, MA 02210-2208 | 2015-01-19 |
| 1619097805 | Arun Chaudhury | Physiological Laboratory | West Roxbury Va Medical Center, 1400 Vfw Parkway, Room 2b101, West Roxbury, MA 02132 | 2007-03-30 |
| 1740347475 | Diagnostic Medical Systems Inc | Physiological Laboratory | 184 North Main St, Attleboro, MA 02703 | 2007-01-02 |
| 1063403731 | First-call Medical Inc | Physiological Laboratory | 28 Andover St, Ste 200, Andover, MA 01810-4888 | 2005-11-02 |
| 1538513106 | Braincare, LLC | Physiological Laboratory | 101 Federal St, Ste 1900, Boston, MA 02110-1817 | 2016-04-20 |
| 1841561214 | Medx Ultrasound, Inc. | Physiological Laboratory | 225 Rockland St, New Bedford, MA 02740-3136 | 2012-01-18 |
| 1114232261 | Radiology Associates of Norwood Inc | Physiological Laboratory | 800 Washington St, Norwood, MA 02062-3487 | 2010-08-13 |
| 1083865570 | Navix Diagnostix, Inc. | Physiological Laboratory | 10 Cordage Park Cir, Plymouth, MA 02360-7318 | 2008-10-02 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 01803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.