INTERRA SW DIAGNOSTICS LLC NPI 1013669381

NPI Information

NPI: 1013669381
Provider Name: INTERRA SW DIAGNOSTICS LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
1 MEMORIAL RD
WEST HARTFORD, CT
ZIP 06107
Phone: (864) 315-2627
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INTERRA SW DIAGNOSTICS LLC is a neurology psychiatry neurology in West Hartford, CT. 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. INTERRA SW DIAGNOSTICS LLC NPI is 1013669381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 MEMORIAL RD
WEST HARTFORD, CT
ZIP 06107-208
Phone: (864) 315-2627

The provider's authorized official is George Khouri .
The authorized official title is Sole Member and has the following contact phone number (803) 917-8378.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 1/19/2022.

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	2084N0400X	Psychiatry & Neurology	Neurology			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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