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NEURODIAGNOSTICS LTD. NPI 1942365416


NPI Information

NPI: 1942365416
Provider Name: NEURODIAGNOSTICS LTD.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4801 N BUTLER AVE
STE. 8102
FARMINGTON, NM
ZIP 87401
Phone: (505) 326-7153
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NEURODIAGNOSTICS LTD. is a neurology psychiatry neurology in Farmington, NM. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NEURODIAGNOSTICS LTD. NPI is 1942365416. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 N BUTLER AVE
STE. 8102
FARMINGTON, NM
ZIP 87401-818
Phone: (505) 326-7153
Fax: (505) 326-7767

The provider's authorized official is Denise Breeden .
The authorized official title is Office Manager and has the following contact phone number (505) 326-7153.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 12/21/2007.


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
12084N0400XPsychiatry & NeurologyNeurology2000-14NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
169631MEDICAIDNEW MEXICO

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: 4/28/2024

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