Provider Demographics
NPI:1770031536
Name:NEURO DIAGNOSTECHS LLC
Entity Type:Organization
Organization Name:NEURO DIAGNOSTECHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-319-4910
Mailing Address - Street 1:28533 SPRING TRAILS RDG
Mailing Address - Street 2:STE 220C
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-4355
Mailing Address - Country:US
Mailing Address - Phone:281-319-4910
Mailing Address - Fax:832-663-9371
Practice Address - Street 1:28533 SPRING TRAILS RDG
Practice Address - Street 2:STE 220C
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-4355
Practice Address - Country:US
Practice Address - Phone:281-319-4910
Practice Address - Fax:832-663-9371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0500XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherEEGGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty