SOUTHWEST NEURODIAGNOSTICS LLC NPI 1669969564

NPI Information

NPI: 1669969564
Provider Name: SOUTHWEST NEURODIAGNOSTICS LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
42104 N VENTURE DR STE A114
ANTHEM, AZ
ZIP 85086
Phone: (602) 395-0718
Get Directions

SOUTHWEST NEURODIAGNOSTICS LLC is a neurology psychiatry neurology in Anthem, AZ. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SOUTHWEST NEURODIAGNOSTICS LLC NPI is 1669969564. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42104 N VENTURE DR STE A114
ANTHEM, AZ
ZIP 85086-825
Phone: (602) 395-0718
Fax: (602) 277-8146

The provider's authorized official is Cody D Davies .
The authorized official title is Chief Operating Officer and has the following contact phone number (406) 599-4354.

The enumeration date for this NPI number is 4/16/2018 and was last updated on 11/30/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology			Yes
2	246ZE0500X	Specialist/Technologist, Other	EEG			No

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

NPI Synchronization or Removal

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