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MASSACHUSETTS NEURODIAGNOSTICS LLC NPI 1063956555


NPI Information

NPI: 1063956555
Provider Name: MASSACHUSETTS NEURODIAGNOSTICS, LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
1500 DISTRICT AVE # 2053
BURLINGTON, MA
ZIP 01803
Phone: (617) 648-9854
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MASSACHUSETTS NEURODIAGNOSTICS, LLC is a physiological laboratory in Burlington, MA. The provider is 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. MASSACHUSETTS NEURODIAGNOSTICS, LLC NPI is 1063956555. The provider is registered as an organization entity type.

The provider's business location address is:

1500 DISTRICT AVE # 2053
BURLINGTON, MA
ZIP 01803-069
Phone: (617) 648-9854
Fax: (866) 279-4704

The provider's authorized official is Charles Alvarez .
The authorized official title is Ceo and has the following contact phone number (469) 995-8416.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 10/12/2020.


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
1261Q00000XClinic/CenterNo
2261QS1200XClinic/CenterSleep Disorder DiagnosticNo
3293D00000XPhysiological LaboratoryYes

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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