SHORTWAVE DIAGNOSTICS LLC NPI 1366972697

NPI Information

  • NPI: 1366972697
  • Provider Name: SHORTWAVE DIAGNOSTICS LLC
  • Classification: Psychiatry & Neurology - 2084N0600X
  • Specialization: Clinical Neurophysiology
  • Entity Type: Organization
  • Address: 5080 SPECTRUM DR STE 1100E
    ADDISON, TX
    ZIP 75001
  • Phone: (469) 283-1992

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NPI Details

SHORTWAVE DIAGNOSTICS LLC is a clinical neurophysiology psychiatry neurology in Addison, TX. 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). SHORTWAVE DIAGNOSTICS LLC NPI is 1366972697. 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) 283-1992

The provider's authorized official is Roxanna Laroque .
The authorized official title is Client Experience Manager and has the following contact phone number (210) 598-2800.

The enumeration date for this NPI number is 6/19/2017 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
1246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
22084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

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

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