ALLIANCE NEURODIAGNOSTICS, LLC (NPI# 1912318445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912318445 |
| Entity Type | Organization |
| Organization Name | ALLIANCE NEURODIAGNOSTICS, LLC |
| Practice Address |
4545 Fuller Dr Ste 200 Irving TX 75038 |
| Mailing Address |
4545 Fuller Dr Ste 100 Irving TX 75038-6509 |
| Practice Telephone | 4692083799 |
| Practice Fax Number | 8662794704 |
| Mailing Telephone | 4699958416 |
| Mailing Fax Number | 8662794704 |
| Enumeration Date | 2014-05-19 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Bayhill Dr., Suite 200, Office 286, San Bruno, CA 940663062 | 6502482402 | |
| 5 Great Valley Pkwy Ste 310, Malvern, PA 193551426 | 6106486263 | |
| 611 Gateway Blvd Ste 120284, South San Francisco, CA 940807017 | 6822000922 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Alliance Neurodiagnostics, LLC | 4545 Fuller Drive, Suite 100, Irvine, TX 75038 |
| Alabama Business Registrations | Alliance Neurodiagnostics, LLC | 4545 Fuller Drive Ste 100, Irving, TX 75038 |
| Iowa Business Entities | ALLIANCE NEURODIAGNOSTICS, LLC | 4545 Fuller Dr., Suite 100, Irving, TX 75038 |
| Washington State Corporations | ALLIANCE NEURODIAGNOSTICS, LLC | 4545 Fuller Dr #100, Irving, TX 75038 |
| Oregon Corporations, Companies and Business Names | ALLIANCE NEURODIAGNOSTICS, LLC | 4545 Fuller Dr Ste 100, Irving, TX 75038 |
| Connecticut Business Registrations | ALLIANCE NEURODIAGNOSTICS, LLC | 4545 Fuller Drive, Suite 100, Suite 100, Irving, TX 75038 |
| Street Address |
4545 FULLER DR STE 200 |
| City | IRVING |
| State | TX |
| Zip Code | 75038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959587 | S&w Primary Home Care | Home Health | 3921 Timberidge Drive, Irving, TX 75038 | 2020-10-12 |
| 1295372928 | Wecare Tlc | Clinic/Center | 777 Hidden Ridge, Irving, TX 75038 | 2019-12-02 |
| 1407369135 | North Texas Psychiatry Associates Pllc | Psychiatry & Neurology | 4020 N. Macarthur Blvd, Suite 122 - 153, Irving, TX 75038 | 2017-11-16 |
| 1164970745 | Young Men's Christian Association of Metropolitan Dallas | Health Educator | 1621 W Walnut Hill Ln, Irving, TX 75038 | 2016-09-13 |
| 1285086397 | Edge-md Holding Pllc | Family Medicine | 1200 W. Walnut Hill Lane, Suite 3950, Irving, TX 75038 | 2016-07-13 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| 1437403227 | Dashwood Pharmacy | Pharmacy | 1300 W. Walnut Hill Lane, Suite 163, Irving, TX 75038 | 2012-11-01 |
| 1265795538 | Michael Fooshee | Dentist | 3007 Skyway Circle North, Suite 100, Irving, TX 75038 | 2012-06-20 |
| 1205107273 | Sylviane Akenda Kasende | Nurse Practitioner | 2925 Skyway Circle N, Irving, TX 75038 | 2012-01-23 |
| 1770893828 | Donald Leigh Oberlin | Radiology | 4743 Byron Circle, Irving, TX 75038 | 2010-10-07 |
| Find all providers in zip 75038 | ||||
| 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 |
|---|---|---|---|---|
| 1114483575 | Neuro Md Diagnostic LLC | Physiological Laboratory | 671 Flagstone Dr, Irving, TX 75039-3811 | 2019-02-11 |
| 1164992137 | Btdi Jv, LLP | Physiological Laboratory | 2005 West Park Dr, Suite 110, Irving, TX 75061-2034 | 2018-12-03 |
| 1659628659 | Health Imaging Partners LLC | Physiological Laboratory | 925 W Royal Lane, Suite 100, Irving, TX 75039 | 2012-08-08 |
| 1700903937 | Frontera Strategies, Lp | Physiological Laboratory | 400 Las Colinas Blvd E, Suite 100, Irving, TX 75039-5579 | 2007-03-23 |
| 1003431297 | Eeg Monitoring, LLC | Physiological Laboratory | 1350 W Walnut Hill Ln Ste 100, Irving, TX 75038-3025 | 2020-06-12 |
| 1497222343 | Edge-md Holding Pllc | Physiological Laboratory | 1200 W Walnut Hill Ln Ste 1300, Irving, TX 75038-3050 | 2018-10-30 |
| 1336616580 | Open Arms Healthcare of Texas Inc. | Physiological Laboratory | 1200 W Walnut Hill Ln Ste 1300, Irving, TX 75038-3050 | 2018-10-25 |
| 1811357114 | Blue Stone Jv LLP | Physiological Laboratory | 1 Cowboys Pkwy, Irving, TX 75063-4924 | 2016-02-29 |
| 1437547403 | Frontera Strategies, Lp | Physiological Laboratory | 400 Las Colinas Blvd E, Suite 100, Irving, TX 75039-5579 | 2014-12-29 |
| 1023328119 | Frontera Labs, LLC | Physiological Laboratory | 7301 State Highway 161, Suite 100, Irving, TX 75039-2816 | 2010-10-07 |
| Find all providers in IRVING | ||||
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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.