Provider Demographics
NPI:1841448602
Name:NIMCO, LLC
Entity type:Organization
Organization Name:NIMCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MCNINCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:404-767-6400
Mailing Address - Street 1:3290 NORTHSIDE PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2212
Mailing Address - Country:US
Mailing Address - Phone:404-767-6400
Mailing Address - Fax:404-767-6476
Practice Address - Street 1:3290 NORTHSIDE PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-2212
Practice Address - Country:US
Practice Address - Phone:404-767-6400
Practice Address - Fax:404-767-6476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes293D00000XLaboratoriesPhysiological Laboratory
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Single Specialty