CHOICE NEURODIAGNOSTICS, LLC (NPI# 1407206121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407206121 |
| Entity Type | Organization |
| Organization Name | CHOICE NEURODIAGNOSTICS, LLC |
| Practice Address |
176 Mine Lake Ct Ste 100 Raleigh NC 27615-6417 |
| Mailing Address |
5825 Glenridge Dr Bldg 3 Ste 101 Atlanta GA 30328-5387 |
| Practice Telephone | 4044287041 |
| Mailing Telephone | 4043035102 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | MR. JEFFREY M POREE JR. (PRESIDENT) |
| Authorized Official Telephone | 4048054288 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
176 MINE LAKE CT STE 100 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295390557 | Prime Nc Health, LLC | Specialist/Technologist, Other | 160 Mine Lake Ct Ste 200, Raleigh, NC 27615-6417 | 2019-05-02 |
| 1730551318 | Hillary Raker | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2015-10-22 |
| 1043612096 | William Simmons | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-09-22 |
| 1962803866 | David Schneider | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-09-10 |
| 1184032286 | Kristin Eccleton | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2014-08-01 |
| 1023449980 | Creighton Brad Edwards | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2013-12-03 |
| 1669803615 | Jennifer Priestap | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2013-12-02 |
| 1558798199 | Craig L Christopher | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2013-09-27 |
| 1689016677 | Jordan Broderick Bailey | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2013-07-19 |
| 1376987974 | Daniel R Adams | Specialist/Technologist, Other | 6100 Maddry Oaks Ct, Raleigh, NC 27616-3156 | 2013-04-25 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on CHOICE NEURODIAGNOSTICS, LLC.
| 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.