NEUROGENIC MEDICAL GROUP LLC NPI 1508675075

NPI Information

  • NPI: 1508675075
  • Provider Name: NEUROGENIC MEDICAL GROUP LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 5135 CAMINO AL NORTE STE 210
    NORTH LAS VEGAS, NV
    ZIP 89031
  • Phone: (725) 294-1701

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NPI Details

NEUROGENIC MEDICAL GROUP LLC is a multi-specialty clinic center in North Las Vegas, NV. NEUROGENIC MEDICAL GROUP LLC NPI is 1508675075. The provider is registered as an organization entity type.

The provider's business location address is:

5135 CAMINO AL NORTE STE 210
NORTH LAS VEGAS, NV
ZIP 89031-391
Phone: (725) 294-1701

The provider's authorized official is Chase Johnson .
The authorized official title is Owner and has the following contact phone number (725) 294-1701.

The enumeration date for this NPI number is 12/30/2024 and was last updated on 12/30/2024.

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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 3/30/2025

NPI Synchronization or Removal

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