NEURO DIAGNOSTICS LLC (NPI# 1588274468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588274468 |
| Entity Type | Organization |
| Organization Name | NEURO DIAGNOSTICS LLC |
| Practice Address |
1402 Rice Rd Ste 100 Tyler TX 75703-3230 |
| Mailing Address |
Po Box 6529 Mckinney TX 75071-5114 |
| Practice Telephone | 8442125321 |
| Practice Fax Number | 2145949559 |
| Mailing Telephone | 8442125321 |
| Mailing Fax Number | 2145949559 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | FRANK GRAY III (DIRECTOR) |
| Authorized Official Telephone | 8442125321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821266164 | Neuro Diagnostics LLC | Psychiatry & Neurology | 330 Washington St, Norwich, CT 06360-2700 | 2008-02-20 |
| Street Address |
1402 RICE RD STE 100 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-3230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411849 | Mary Lou Dene | Internal Medicine | 1402 Rice Rd Ste 100, Tyler, TX 75703-3230 | 2006-06-05 |
| 1932707726 | Breezye Huddleston | Nurse Practitioner | 1402 Rice Rd Ste 100, Tyler, TX 75703-3230 | 2020-10-13 |
| 1588607428 | Dale J Bradley | Family Medicine | 1402 Rice Rd Ste 100, Tyler, TX 75703-3230 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| 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 |
|---|---|---|---|---|
| 1184953580 | Thomas Howard Alexander Jr | Physiological Laboratory | 700 Olympic Plaza Cir Ste 906b, Tyler, TX 75701-1958 | 2009-12-14 |
| 1407454879 | Btdi Jv, LLP | Physiological Laboratory | 1904 E Southeast Loop 323, Tyler, TX 75701-8337 | 2020-10-16 |
| 1538355268 | Thomas H Alexander Jr Services | Physiological Laboratory | 1301 Doctors Dr, Tyler, TX 75701-2239 | 2007-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
| 1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
| 1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.