Provider Demographics
NPI:1568749281
Name:BATON ROUGE NEUROLOGICAL TESTING INC.
Entity Type:Organization
Organization Name:BATON ROUGE NEUROLOGICAL TESTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BURATT
Authorized Official - Suffix:
Authorized Official - Credentials:REPT
Authorized Official - Phone:225-622-3527
Mailing Address - Street 1:18291 PIN OAK LN
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-6352
Mailing Address - Country:US
Mailing Address - Phone:225-622-3527
Mailing Address - Fax:225-622-3802
Practice Address - Street 1:18291 PIN OAK LN
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-6352
Practice Address - Country:US
Practice Address - Phone:225-622-3527
Practice Address - Fax:225-622-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty