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ANI NEUROLOGY PLLC NPI 1457530057


NPI Information

NPI: 1457530057
Provider Name: ANI NEUROLOGY PLLC

Doing Business As: ALZHEIMER'S MEMORY CENTER

Classification: Contractor - 171W00000X
Entity Type: Organization

CLIA Number: 34D1091462

Address:
7809 SARDIS RD
CHARLOTTE, NC
ZIP 28270
Phone: (704) 364-4000
Get Directions

ANI NEUROLOGY PLLC is a contractor in Charlotte, NC. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). ANI NEUROLOGY PLLC NPI is 1457530057. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Alzheimer's Memory Center.

The provider's business location address is:

7809 SARDIS RD
CHARLOTTE, NC
ZIP 28270-757
Phone: (704) 364-4000
Fax: (704) 364-4005

The provider's authorized official is Mohammad Reza Bolouri .
The authorized official title is President and has the following contact phone number (704) 364-4000.

The CLIA number assigned to this NPI record is 34D1091462 - other - research facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 5/20/2015.


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
1171W00000XContractor200400301NORTH CAROLINAYes

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
12052362MEDICARE UPINNORTH CAROLINA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.