Provider Demographics
NPI:1235382581
Name:NEURO TECHNOLOGY INSTITUTE USA LLC
Entity Type:Organization
Organization Name:NEURO TECHNOLOGY INSTITUTE USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:W
Authorized Official - Last Name:JANANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-926-8880
Mailing Address - Street 1:3535 S SHERWOOD FOREST BLVD STE 249
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2255
Mailing Address - Country:US
Mailing Address - Phone:225-293-6222
Mailing Address - Fax:225-208-1100
Practice Address - Street 1:3535 S SHERWOOD FOREST BLVD STE 249
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2255
Practice Address - Country:US
Practice Address - Phone:225-293-6222
Practice Address - Fax:225-208-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2021-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty