Definitive Neurodiagnostics Llc in Normal - Electroneurodiagnostic
Definitive Neurodiagnostics Llc - NPI 1659490761
Definitive Neurodiagnostics Llc is a Electroneurodiagnostic in Normal, Illinois. Definitive Neurodiagnostics Llc practices all healthcare services and medical treatments related to Electroneurodiagnostic. The NPI Number for Definitive Neurodiagnostics Llc is 1659490761. The last update date is 2016-06-22.
Definitive Neurodiagnostics Llc's current location address is 1604 Visa Dr, Normal, Illinois. You can contact this provider via phone number 3094541100 and fax number 3094541107. The mailing address for Definitive Neurodiagnostics Llc is 1604 Visa Dr, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Definitive Neurodiagnostics Llc |
|---|---|
| Address | 1604 Visa Dr, Normal, Illinois |
| Phone Number | 3094541100 |
| Fax Number | 3094541107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING D |
|---|---|
| Authorized Official Name | Falls L. Vikki |
| Telephone Number | 3094541100 |
NPI Number Detail
| NPI Number | 1659490761 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2016-06-22 |
Provider Mailing Address Detail
| Address | 1604 Visa Dr |
|---|---|
| City | Normal |
| State | Illinois (IL) |
| Post Code | 617612195 |
| Phone Number | 3094541100 |
| Fax Number | 3094541107 |
Provider's Primary Taxonomy Detail
| Speciality | Electroneurodiagnostic |
|---|---|
| Taxonomy | 246Ze0600X |
| Licence No | 36100906 |
|
Definition: Performs electrodiagnostic tests to record electrical activity from nerves and muscles. |
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What is the unique 10-digit identifier code assigned to Definitive Neurodiagnostics Llc by the Centers for Medicare & Medicaid Services?
The Definitive Neurodiagnostics Llc has been issued the NPI (National Provider Identifier) 1659490761 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Definitive Neurodiagnostics Llc is physically located?
The Definitive Neurodiagnostics Llc is physically situated at the following address: 1604 Visa Dr, Normal, IL, 617612195.
What is Definitive Neurodiagnostics Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Definitive Neurodiagnostics Llc is Electroneurodiagnostic, and the corresponding taxonomy classification code for this specialized field is 246Ze0600X.
When did the Definitive Neurodiagnostics Llc receive its 1659490761?
The Definitive Neurodiagnostics Llc was issued its 1659490761 on 2007-03-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Definitive Neurodiagnostics Llc most recently updated or revised?
The information pertaining to Definitive Neurodiagnostics Llc, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-22.
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