Missouri Neurodiagnostics, Llc, NPI 1114377223
Physiological Laboratory in Chesterfield, MO, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114377223
NPI Entity Type Organization
Provider Name Missouri Neurodiagnostics, Llc
Subpart of Organization Alliance Family Of Companies, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 100 Chesterfield Business Pwky, Ste. 200, Office 238, Chesterfield, MO, US
Provider Mailing Address 4545 Fuller Dr, Suite 100, Irving, TX, US, 750386530
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Charles Alvarez
Official Position CEO
Phone 469-995-8416

Primary Taxonomy

Taxonomy Code

293D00000X

Taxonomy Name Physiological Laboratory
Classification

Physiological Laboratory

Group

Laboratories

Description 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.

Business Address

Missouri Neurodiagnostics, Llc
100 Chesterfield Business Pwky
Ste. 200, Office 238

Chesterfield, MO, US

Phone: 314-332-1340
Fax: 866-279-4704

Mailing Address

Missouri Neurodiagnostics, Llc
4545 Fuller Dr
Suite 100
Irving, TX, US
ZIP 750386530
Phone: 469-995-8416
Fax: 866-279-4704

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261Q00000X

Ambulatory Health Care Facilities

Clinic/Center

No

261QS1200X

Ambulatory Health Care Facilities

Clinic/Center

No

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NPI Name Taxonomy Address

1679982664

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PT, DPT Klaire Hart Phillips

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DR. MD Douglas James Cassidy

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FNP-C Kyle Douglas Gronberg

Individual

Nurse Practitioner

3801 S National Ave Ste 900

Springfield, MO

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