Provider Demographics
NPI:1760925465
Name:PREFERRED NEURODIAGNOSTICS LLC
Entity Type:Organization
Organization Name:PREFERRED NEURODIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NETWORK DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-215-7410
Mailing Address - Street 1:3001 DALLAS PKWY
Mailing Address - Street 2:SUITE 610
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8637
Mailing Address - Country:US
Mailing Address - Phone:972-215-7410
Mailing Address - Fax:972-346-6869
Practice Address - Street 1:3001 DALLAS PKWY
Practice Address - Street 2:SUITE 610
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8637
Practice Address - Country:US
Practice Address - Phone:972-215-7410
Practice Address - Fax:972-346-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty