Provider Demographics
NPI:1497263511
Name:NEUROTDS LLC
Entity Type:Organization
Organization Name:NEUROTDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:O
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:615-593-4772
Mailing Address - Street 1:4323 CAROTHERS PKWY STE 609
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5922
Mailing Address - Country:US
Mailing Address - Phone:615-593-4772
Mailing Address - Fax:
Practice Address - Street 1:4323 CAROTHERS PKWY STE 609
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5922
Practice Address - Country:US
Practice Address - Phone:615-593-4772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2020-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile