Provider Demographics
NPI:1851574834
Name:NDST LLC
Entity Type:Organization
Organization Name:NDST LLC
Other - Org Name:NEURO DIAGNOSTICS OF SOUTH TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERLANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-545-7900
Mailing Address - Street 1:518 E RAMSEY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4660
Mailing Address - Country:US
Mailing Address - Phone:210-545-7900
Mailing Address - Fax:866-902-8681
Practice Address - Street 1:518 E RAMSEY RD
Practice Address - Street 2:STE 201
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4660
Practice Address - Country:US
Practice Address - Phone:210-545-7900
Practice Address - Fax:866-902-8681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty