Advanced Neurodiagnostic Center, INC
Psychiatry & Neurology, Neurology in Metairie, LA. Organization (NPI-2).
NPI number1164570883
StatusActive
Last updated in NPPESOct 11, 2011
Details
- NPI
- 1164570883
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Neurodiagnostic Center, INC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Oct 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | LA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | LA | |
| 2084S0012X | Psychiatry & Neurology, Sleep Medicine | – | LA | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | LA | |
| 363L00000X | Nurse Practitioner | AP06242 | LA | |
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | 201074 | LA |
Practice location
2905 Kingman StMetairie, LA 70006-6615
Phone 504-885-3737 · Fax 504-885-5507
Mailing address
2905 Kingman St Fl 2Metairie, LA 70006-6615
Phone 504-885-3737 · Fax 504-885-5507
Authorized official
Simin Mirtaheri
President
5048853737
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