Provider Demographics
NPI:1891949491
Name:MEDX NEURODIAGNOSTICS
Entity Type:Organization
Organization Name:MEDX NEURODIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:PSICHOPAIDAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-999-4040
Mailing Address - Street 1:225 ROCKLAND ST
Mailing Address - Street 2:STE B
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-3136
Mailing Address - Country:US
Mailing Address - Phone:508-999-4040
Mailing Address - Fax:
Practice Address - Street 1:225 ROCKLAND ST
Practice Address - Street 2:STE B
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-3136
Practice Address - Country:US
Practice Address - Phone:508-999-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty