NEURO SOURCE DIAGNOSTICS, INC (NPI# 1083031496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083031496 |
| Entity Type | Organization |
| Organization Name | NEURO SOURCE DIAGNOSTICS, INC |
| Practice Address |
9276 Jamison Ave Unit A Philadelphia PA 19115-4281 |
| Practice Telephone | 2154607475 |
| Practice Fax Number | 2156772073 |
| Mailing Telephone | 2154607475 |
| Mailing Fax Number | 2156772073 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-25 |
| Authorized Official Name | RYAN ROSSIEN (OWNER) |
| Authorized Official Telephone | 2154607475 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
9276 JAMISON AVE UNIT A |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19115-4281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053713925 | Ryan Rossien | Technician, Other | 9276 Jamison Ave, Uint A, Philadelphia, PA 19115-4281 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442696 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2044 Red Lion Road, Philadelphia, PA 19115 | 2020-09-21 |
| 1639717762 | Cassondra Ondeck | Physical Therapist | Paul's Run Retirement Community, 9896 Bustleton Ave, Philadelphia, PA 19115 | 2019-12-19 |
| 1740747641 | Comfort Ride Transit Inc | Non-emergency Medical Transport (VAN) | 248 Geiger Road, Suite 201 Unit D, Philadelphia, PA 19115 | 2019-02-27 |
| 1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
| 1659857027 | Kiesha Anita Abney | Occupational Therapy Assistant | Chapel Manor (genesis Rehabilitation) 1104 Welsh Road, Philadelphia, PA 19115 | 2018-07-18 |
| 1457844870 | Philadelphia Discount Pharmacy LLC | Pharmacist | 842 Red Lion Road Unit 13, Philadephia, PA 19115 | 2018-06-11 |
| 1770001828 | Ciarra Bell | Occupational Therapist | 828 Red Lion Rd, Philadelphia, PA 19115 | 2017-09-08 |
| 1245604008 | Saria Ibrahim | Counselor | 9651 Clark Street, Philadelphia, PA 19115 | 2015-11-17 |
| 1124413166 | Global Dental Plus LLC | Dentist | 9630 Bustleton Av 2nd Fl, Philadelphia, PA 19115 | 2015-04-06 |
| 1932510161 | Miriam John | Occupational Therapist | 9997 Sandy Road, Philadelphia, PA 19115 | 2014-05-09 |
| Find all providers in zip 19115 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19115 |
Please comment or provide details below to improve the information on NEURO SOURCE DIAGNOSTICS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.