CONNECTICUT NEURODIAGNOSTICS, LLC (NPI# 1366953705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366953705 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT NEURODIAGNOSTICS, LLC |
| Practice Address |
83 Wooster Heights Rd. Suite 125, Office 145 Danbury CT 06810 |
| Mailing Address |
4545 Fuller Dr Ste 100 Irving TX 75038-6509 |
| Practice Telephone | 4752897864 |
| Practice Fax Number | 8662794704 |
| Mailing Telephone | 4699958416 |
| Mailing Fax Number | 8662794704 |
| Enumeration Date | 2017-10-12 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT NEURODIAGNOSTICS, LLC | 4545 Fuller Drive, Suite 100, Suite 100, Irving, TX 75038 |
| Street Address |
83 WOOSTER HEIGHTS RD. SUITE 125, OFFICE 145 |
| City | DANBURY |
| State | CT |
| Zip Code | 06810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751017 | Jai Karan Singh | Student in an Organized Health Care Education/Training Program | 120 Main Street, Connecticut Institute of Communities, Danbury, CT 06810 | 2020-05-14 |
| 1497377576 | Jahangir Rouzbehani Selakhor | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave. 06810-6099, Danbury, CT 06810 | 2020-05-12 |
| 1255984043 | Michelle Jean Moore | Nurse Practitioner | 95 Locust Avenue 1st Floor Oncology, Stroock Building, Danbury, CT 06810 | 2019-07-20 |
| 1740748755 | Jose Rafael Rivera | Pharmacist | 305 White St, Danbury, CT 06810 | 2019-03-08 |
| 1013406396 | Aswathi Elsa Mathew | Student in an Organized Health Care Education/Training Program | Greater Danbury Community Health Center, 120 Main St, Danbury, CT 06810 | 2018-05-02 |
| 1073001772 | Manish Kumar Gupta | Student in an Organized Health Care Education/Training Program | Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810 | 2018-04-27 |
| 1396232005 | Ayushman Rai Sood | Student in an Organized Health Care Education/Training Program | 24 Hospital Avenue, Danbury Hospital, Danbury, CT 06810 | 2018-04-18 |
| 1528585569 | Xing Zhu | Dentist | 28 Paulding Ter, Danbury, CT 06810 | 2017-08-29 |
| 1851812606 | Julie Susanne Alferi | Dental Hygienist | 70, Main Street, Danbury, CT 06810 | 2017-07-02 |
| 1063948305 | Daniela Irina Rosu | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave., Danbury Hospital, Danbury, CT 06810 | 2017-05-05 |
| Find all providers in zip 06810 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120499 | Hvra of Danbury, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-30 |
| 1386029742 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-07-28 |
| 1992180350 | Northeast Radiology of Connecticut, LLC | Physiological Laboratory | 67 Sand Pit Rd, Danbury, CT 06810-4032 | 2015-07-28 |
| 1013152792 | Housatonic Valley Radiological Associates PC | Physiological Laboratory | 67 Sand Pit Rd, Suite 105, Danbury, CT 06810-4032 | 2008-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568883791 | Physicians Ancillary Services LLC | Physiological Laboratory | 1090 Elm St Ste 200, Rocky Hill, CT 06067-1849 | 2013-12-13 |
| 1952352478 | Raytel Cardiac Services, Inc. | Physiological Laboratory | 29 Griffin Rd S Ste 35, Bloomfield, CT 06002 | 2006-05-12 |
| 1245295401 | Greater Waterbury Imaging Center Limited Partnership | Physiological Laboratory | 68 Robbins St, Waterbury, CT 06708-2613 | 2006-04-19 |
| 1851740682 | Braincare, LLC | Physiological Laboratory | 15 N Main St, Ste 100, West Hartford, CT 06107-1974 | 2016-06-13 |
| 1376836973 | Logz's LLC | Physiological Laboratory | 39 New London Tpke, Suite 325, Glastonbury, CT 06033-2061 | 2011-05-16 |
| 1922151695 | Healthcenter Imaging of Fairfield County LLC | Physiological Laboratory | 999 Silver Ln, Suite 1b, Trumbull, CT 06611-5343 | 2007-01-18 |
| 1851356919 | Southern Connecticut Imaging Centers LLC | Physiological Laboratory | 2200 Whitney Ave, Hamden, CT 06518-3691 | 2006-04-19 |
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| 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.