EXCEL NEURO-DIAGNOSTICS LLC (NPI# 1093161333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093161333 |
| Entity Type | Organization |
| Organization Name | EXCEL NEURO-DIAGNOSTICS LLC |
| Practice Address |
11970 N Central Expy Dallas TX 75243-3768 |
| Practice Telephone | 2148129490 |
| Practice Fax Number | 8008783225 |
| Mailing Telephone | 2148129490 |
| Mailing Fax Number | 8008783225 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |
| Authorized Official Name | MELISSA GUINN (OWNER) |
| Authorized Official Telephone | 2148129490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
11970 N CENTRAL EXPY |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619963808 | J Robert Wyatt | Specialist | 11970 N Central Expy, Suite 400, Dallas, TX 75243-3768 | 2005-09-22 |
| 1215497961 | Annalisa Tuyet Bui Creech | Nurse Practitioner | 11970 N Central Expy, Dallas, TX 75243-3768 | 2019-03-20 |
| 1235688102 | C M First Assisting, Inc. | Physician Assistant | 11970 N Central Expy, Suite 500, Dallas, TX 75243-3768 | 2016-10-03 |
| 1265986442 | J Alexander Md Pa | Nurse Anesthetist, Certified Registered | 11970 N Central Expy, Ste 600, Dallas, TX 75243-3768 | 2016-08-05 |
| 1518344142 | Icon Professional Services, Inc. | Clinic/Center | 11970 N Central Expy, Suite 500, Dallas, TX 75243-3768 | 2015-05-04 |
| 1639574403 | Endocrinology and Diabetes Specialist Pa | Clinic/Center | 11970 N Central Expy, Suite 630, Dallas, TX 75243-3768 | 2014-10-23 |
| 1609202704 | Spine Institute of Texas, Pllc | Specialist | 11970 N Central Expy, Suite 450, Dallas, TX 75243-3768 | 2013-09-20 |
| 1710321146 | Rem Sleep Diagnostics Frisco LLC | Clinic/Center | 11970 N Central Expy, Ste. 640, Dallas, TX 75243-3768 | 2013-04-29 |
| 1730523168 | Sleep Remedies Frisco LLC | Clinic/Center | 11970 N Central Expy, Ste. 640, Dallas, TX 75243-3768 | 2013-04-29 |
| 1326482753 | Somny Tech Sleep Services Frisco LLC | Durable Medical Equipment & Medical Supplies | 11970 N Central Expy, Ste. 640b, Dallas, TX 75243-3768 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
|---|---|---|---|---|
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1881237568 | Mbb Management | Physiological Laboratory | 12700 Hillcrest Rd Ste 158, Dallas, TX 75230-2055 | 2019-10-24 |
| 1730738386 | Foj Neuro Diagnostics LLC | Physiological Laboratory | 13421 Tangleridge Ln, Dallas, TX 75240-5342 | 2019-09-06 |
| 1184283053 | Brainwave Diagnostic LLC | Physiological Laboratory | 7777 Forest Ln Ste B416, Dallas, TX 75230-2566 | 2019-06-13 |
| 1780196576 | Progressive Neuro Diagnostics | Physiological Laboratory | 350 N Saint Paul St Apt 2114, Dallas, TX 75201-4220 | 2017-11-01 |
| 1588981831 | Pro-tech-tive Neuromonitoring, LLC | Physiological Laboratory | 10114 Pinecrest Dr, Dallas, TX 75228-3257 | 2010-04-27 |
| 1144550369 | Health Imaging Partners LLC | Physiological Laboratory | 12201 Merit Dr Ste 100, Dallas, TX 75251-2122 | 2010-01-11 |
| 1144340258 | Digitrace Care Services Inc | Physiological Laboratory | 8700 N Stemmons Fwy, Suite 135, Dallas, TX 75247-3729 | 2007-03-30 |
| Find all providers in DALLAS | ||||
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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.