NEURO DIAGNOSTIC HOME SERVICES, LLC (NPI# 1982907143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982907143 |
| Entity Type | Organization |
| Organization Name | NEURO DIAGNOSTIC HOME SERVICES, LLC |
| Practice Address |
1120 S Freeway Suite 204 Fort Worth TX 76104-5064 |
| Mailing Address |
5904 S Cooper St Suite 104-184 Arlington TX 76017-4494 |
| Practice Telephone | 4698317111 |
| Mailing Telephone | 4698317111 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-09 |
| Authorized Official Name | MR. DARRYL EVANS (COO) |
| Authorized Official Telephone | 4698317111 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1120 S FREEWAY SUITE 204 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-5064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724798 | Optimum Iom Tech, LLC | Specialist/Technologist, Other | 3526 Lakeview Pkwy # B132, Rowlett, TX 75088-4176 | 2020-03-10 |
| 1386287159 | Pulse Diagnostic Services,llc | Specialist/Technologist, Other | 17434 Red Oak Dr, Houston, TX 77090-1246 | 2019-10-23 |
| 1902455330 | Tonya Lannette Jack | Specialist/Technologist, Other | 2000 E Lamar Blvd Ste 608, Arlington, TX 76006-7346 | 2019-09-09 |
| 1588122436 | Katrina Reichardt | Specialist/Technologist, Other | 3308 Ella Blvd Ste L, Houston, TX 77018-7336 | 2019-03-11 |
| 1578033254 | Nibu Jacob Malaickal | Specialist/Technologist, Other | 304 S Coppell Rd, Coppell, TX 75019-2417 | 2018-11-26 |
| 1750867123 | Icon Neuromonitoring, LLC | Specialist/Technologist, Other | 23742 Ardmore Cove Dr, Spring, TX 77386-4255 | 2018-07-18 |
| 1720571854 | Poly-rhythms | Specialist/Technologist, Other | 2531 Copper Fields Dr, Rosharon, TX 77583-3273 | 2018-06-13 |
| 1629584552 | Amb Eeg LLC | Specialist/Technologist, Other | 1100 Glade Rd Ste 2, Colleyville, TX 76034-4227 | 2017-12-14 |
| 1639683212 | H&p Diagnostic Services LLC | Specialist/Technologist, Other | 310 E Interstate 30 Ste M105, Garland, TX 75043 | 2017-11-19 |
| 1972015089 | Caroline Cowles Collins | Specialist/Technologist, Other | 25 Highland Park Vlg # 100-225, Dallas, TX 75205-2789 | 2017-10-30 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on NEURO DIAGNOSTIC HOME SERVICES, 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.