GEORGIA NEURODIAGNOSTICS, LLC


Address: 3295 River Exchange Dr Ste 561-133, Norcross, GA 30092-4241
Phone: 6788207191

GEORGIA NEURODIAGNOSTICS, LLC (NPI# 1285003350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285003350
Entity Type Organization
Organization Name GEORGIA NEURODIAGNOSTICS, LLC
Practice Address 3295 River Exchange Dr Ste 561-133
Norcross
GA 30092-4241
Mailing Address 4545 Fuller Dr Ste 100
Irving
TX 75038-6509
Practice Telephone 6788207191
Practice Fax Number 8662794704
Mailing Telephone 4699958416
Mailing Fax Number 8662794704
Enumeration Date 2015-09-18
Last Update Date 2020-10-12
Authorized Official Name CHARLES ALVAREZ (CEO)
Authorized Official Telephone 4699958416
Is Organization Subpart Y
Parent Organization Name ALLIANCE FAMILY OF COMPANIES, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS1200X Clinic/Center
Specialization: Sleep Disorder Diagnostic
Ambulatory Health Care Facilities
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 293D00000X Physiological Laboratory Laboratories

Office Location

Street Address 3295 RIVER EXCHANGE DR STE 561-133
City NORCROSS
State GA
Zip Code 30092-4241

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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and state

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1831699222 Hong Huong Thi Pham Physiological Laboratory 1710 Lake Lucerne Rd Sw, Lilburn, GA 30047-4534 2018-02-13
1225537483 Fairpricemd Inc Physiological Laboratory 6175 Hickory Flat Hwy Ste 110-411, Canton, GA 30115-7207 2018-02-02
1861925075 Nomadx Inc. Physiological Laboratory 4 E Washington St, Ste B2-b4, Newnan, GA 30263-1933 2017-04-05
1912375148 Zywie Inc Physiological Laboratory 12000 Findley Rd, Suite 360, Johns Creek, GA 30097-1412 2015-09-03
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Competitor

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City NORCROSS
Zip Code 30092

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Dataset Information

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.

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