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NEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC NPI 1720637317


NPI Information

NPI: 1720637317
Provider Name: NEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC
Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
4102 N MACDILL AVE UNIT B
TAMPA, FL
ZIP 33607
Phone: (813) 871-2853
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NEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC is a physiological laboratory in Tampa, FL. 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. NEUROPHYSIOLOGY DIAGNOSTIC CENTER LLC NPI is 1720637317. The provider is registered as an organization entity type.

The provider's business location address is:

4102 N MACDILL AVE UNIT B
TAMPA, FL
ZIP 33607-717
Phone: (813) 871-2853
Fax: (813) 877-1609

The provider's authorized official is Rafael Miguel Rodriguez .
The authorized official title is Manager/owner and has the following contact phone number (813) 871-2853.

The enumeration date for this NPI number is 9/6/2019 and was last updated on 9/9/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1293D00000XPhysiological LaboratoryYes

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
1293D00000XOTHERTAXONOMY

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: 11/14/2023

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