MEDGEN NEURO NPI 1487313557

NPI Information

  • NPI: 1487313557
  • Provider Name: MEDGEN NEURO
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Address: 824 N CREEK DR
    CONWAY, AR
    ZIP 72032
  • Phone: (999) 999-9999

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NPI Details

MEDGEN NEURO is a physiological laboratory in Conway, AR. 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. MEDGEN NEURO NPI is 1487313557. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

824 N CREEK DR
CONWAY, AR
ZIP 72032-711
Phone: (999) 999-9999

The provider's authorized official is Deanne Goss .
The authorized official title is Managing Member and has the following contact phone number (999) 999-9999.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 1/17/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyNo
2293D00000XPhysiological 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: 11/21/2025

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