NEUROTECH OF LOUISIANA, LLC


Address: 101 Longwood Dr, Thibodaux, LA 70301-8027
Phone: 9857783148

NEUROTECH OF LOUISIANA, LLC (NPI# 1598001794) 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) 1598001794
Entity Type Organization
Organization Name NEUROTECH OF LOUISIANA, LLC
Practice Address 101 Longwood Dr
Thibodaux
LA 70301-8027
Practice Telephone 9857783148
Mailing Telephone 9857783148
Mailing Fax Number 8007860683
Enumeration Date 2012-12-17
Last Update Date 2018-12-11
Authorized Official Name MRS. KASEY S FONTENOT (PRESIDENT)
Authorized Official Telephone 9857783148
Authorized Official Credential CNIM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 101 LONGWOOD DR
City THIBODAUX
State LA
Zip Code 70301-8027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952716342 Kasey S Fontenot Specialist/Technologist, Other 101 Longwood Dr, Thibodaux, LA 70301-8027 2014-06-25

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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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Competitor

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City THIBODAUX
Zip Code 70301

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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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