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ORBITAL DIAGNOSTIC LLC NPI 1568928455


NPI Information

NPI: 1568928455
Provider Name: ORBITAL DIAGNOSTIC, LLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
921 E DUPONT RD # 888
FORT WAYNE, IN
ZIP 46825
Phone: (260) 200-5018
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ORBITAL DIAGNOSTIC, LLC is a clinical neurophysiology psychiatry neurology in Fort Wayne, IN. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). ORBITAL DIAGNOSTIC, LLC NPI is 1568928455. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

921 E DUPONT RD # 888
FORT WAYNE, IN
ZIP 46825-551
Phone: (260) 200-5018

The provider's authorized official is Lizette Morin .
The authorized official title is Mdms Npi Compliance Officer and has the following contact phone number (210) 598-2800.

The enumeration date for this NPI number is 2/15/2019 and was last updated on 2/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204R00000XElectrodiagnostic MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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