PHYSIOLOGIC DIAGNOSTIC SERVICE LLC NPI 1669818563

NPI Information

NPI: 1669818563
Provider Name: PHYSIOLOGIC DIAGNOSTIC SERVICE, LLC
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Organization

Specialization: Electroneurodiagnostic

Address:
5080 SPECTRUM DR STE 1100E
ADDISON, TX
ZIP 75001
Phone: (469) 283-1988
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PHYSIOLOGIC DIAGNOSTIC SERVICE, LLC is an electroneurodiagnostic specialist technologist other in Addison, TX. PHYSIOLOGIC DIAGNOSTIC SERVICE, LLC NPI is 1669818563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5080 SPECTRUM DR STE 1100E
ADDISON, TX
ZIP 75001-688
Phone: (469) 283-1988
Fax: (210) 566-1330

The provider's authorized official is Roxanna Laroque .
The authorized official title is Director Of Client Experience and has the following contact phone number (210) 598-2801.

The enumeration date for this NPI number is 5/17/2013 and was last updated on 5/9/2022.

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
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes

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: 5/5/2024

NPI Synchronization or Removal

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