DELAWARE NEURODIAGNOSTICS, LLC (NPI# 1558872994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558872994 |
| Entity Type | Organization |
| Organization Name | DELAWARE NEURODIAGNOSTICS, LLC |
| Practice Address |
1000 N West St Ste 1200 Wilmington DE 19801-1058 |
| Mailing Address |
4545 Fuller Dr Ste 100 Irving TX 75038-6509 |
| Practice Telephone | 3024496471 |
| Practice Fax Number | 8662794704 |
| Mailing Telephone | 4699958416 |
| 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 |
| Street Address |
1000 N WEST ST STE 1200 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801-1058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275098 | Evidence Based Solutions Pa | Technician, Other | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2014-08-21 |
| 1295333136 | Richard Dang | Behavior Technician | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2020-10-13 |
| 1578039541 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2018-10-17 |
| 1700368214 | Renee Fiorentino | Nurse Practitioner | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2018-08-30 |
| 1154822195 | Jessica Sloven | Behavior Technician | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2018-02-26 |
| 1003329319 | Jazmine Maddox | Social Worker | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2017-11-08 |
| 1255858353 | Convaluisset Medical, LLC | Durable Medical Equipment & Medical Supplies | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2017-08-29 |
| 1508387895 | New Castle Healthsupplies | Durable Medical Equipment & Medical Supplies | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2017-06-28 |
| 1457758211 | Yapik Inc | Durable Medical Equipment & Medical Supplies | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| 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. |
| City | WILMINGTON |
| Zip Code | 19801 |
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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.