ORBITAL DIAGNOSTIC LLC NPI 1568928455

NPI Information

  • NPI: 1568928455
  • Provider Name: ORBITAL DIAGNOSTIC, LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 921 E DUPONT RD # 888
    FORT WAYNE, IN
    ZIP 46825
  • Phone: (260) 200-5018

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NPI Details

ORBITAL DIAGNOSTIC, LLC is a clinical neurophysiology psychiatry neurology in Fort Wayne, IN. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). ORBITAL DIAGNOSTIC, LLC NPI is 1568928455. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

921 E DUPONT RD # 888
FORT WAYNE, IN
ZIP 46825-551
Phone: (260) 200-5018

The provider's authorized official is Lizette Morin .
The authorized official title is Mdms Npi Compliance Officer and has the following contact phone number (210) 598-2800.

The enumeration date for this NPI number is 2/15/2019 and was last updated on 2/15/2019.

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
1204R00000XElectrodiagnostic MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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