Provider Demographics
NPI:1376696542
Name:NEURO TECHNOLOGY INSTITUTE
Entity type:Organization
Organization Name:NEURO TECHNOLOGY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-293-6222
Mailing Address - Street 1:3535 S SHERWOOD FOREST BLVD STE 247
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2255
Mailing Address - Country:US
Mailing Address - Phone:225-293-6222
Mailing Address - Fax:225-208-1100
Practice Address - Street 1:3535 S SHERWOOD FOREST BLVD STE 247
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2255
Practice Address - Country:US
Practice Address - Phone:225-293-6222
Practice Address - Fax:225-208-1100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty