SOUTHWEST NEURODIAGNOSTICS LLC NPI 1669969564

NPI Information

  • NPI: 1669969564
  • Provider Name: SOUTHWEST NEURODIAGNOSTICS LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 42104 N VENTURE DR STE A114
    ANTHEM, AZ
    ZIP 85086
  • Phone: (602) 395-0718

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NPI Details

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
12084N0400XPsychiatry & NeurologyNeurologyYes
2246ZE0500XSpecialist/Technologist, OtherEEGNo

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: 3/30/2025

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