Provider Demographics
NPI:1003009713
Name:TURRELL NEURODIAGNOSTIC SERVICES INC
Entity Type:Organization
Organization Name:TURRELL NEURODIAGNOSTIC SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-992-1976
Mailing Address - Street 1:21866 AMBAR DR
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-5205
Mailing Address - Country:US
Mailing Address - Phone:818-992-1976
Mailing Address - Fax:
Practice Address - Street 1:21866 AMBAR DR
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-5205
Practice Address - Country:US
Practice Address - Phone:818-992-1976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical NeurophysiologyGroup - Multi-Specialty
No293D00000XLaboratoriesPhysiological LaboratoryGroup - Multi-Specialty