SOUTHWEST NEURODIAGNOSTICS LLC (NPI# 1669969564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669969564 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST NEURODIAGNOSTICS LLC |
| Practice Address |
42104 N Venture Dr Ste A114 Anthem AZ 85086-3825 |
| Practice Telephone | 6023950718 |
| Practice Fax Number | 6022778146 |
| Mailing Telephone | 4065994354 |
| Mailing Fax Number | 6027988296 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | CODY D DAVIES (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 4065994354 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7878 N 16th St Ste 250, Phoenix, AZ 850204478 | 6023950718 | 6022778146 |
| Street Address |
42104 N VENTURE DR STE A114 |
| City | ANTHEM |
| State | AZ |
| Zip Code | 85086-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164089553 | Leslie Holland | Specialist/Technologist, Other | 18315 W Santa Alberta Ln, Goodyear, AZ 85338-5338 | 2019-05-21 |
| 1497204952 | Linda Arvizu | Specialist/Technologist, Other | 3694 N Sunterra Ct, Tucson, AZ 85719-2037 | 2016-09-26 |
| 1326595679 | Ambulatory Neurological Services | Specialist/Technologist, Other | 3106 W Thomas Rd Ste 1108, Phoenix, AZ 85017-5305 | 2016-09-03 |
| 1306280508 | Deborah Agney | Specialist/Technologist, Other | 3910 Breakwater Dr, Lake Havasu City, AZ 86406-4385 | 2013-04-18 |
| 1730423948 | Tlc Neurological Services, LLC | Specialist/Technologist, Other | 2925 E Riggs Rd, Ste. 8127, Chandler, AZ 85249-3600 | 2012-11-12 |
| 1952358723 | Sun Health Physicians | Specialist/Technologist, Other | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2006-05-27 |
Please comment or provide details below to improve the information on SOUTHWEST NEURODIAGNOSTICS LLC.
| 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.