NOBLE NEURODIAGNOSTIC SERVICES, LLC (NPI# 1861976169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861976169 |
| Entity Type | Organization |
| Organization Name | NOBLE NEURODIAGNOSTIC SERVICES, LLC |
| Practice Address |
205 Calcasieu Xing Lafayette LA 70506-7873 |
| Practice Telephone | 3373667535 |
| Practice Fax Number | 7138936967 |
| Mailing Telephone | 3373667535 |
| Mailing Fax Number | 7138936967 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | MR. MARK FRANGULLIE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7138650730 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Noble Neurodiagnostic Services, LLC | Doing Business As Name - Organization |
| Street Address |
205 CALCASIEU XING |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-7873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528523016 | Acadiana Neurological Monitoring, LLC | Specialist/Technologist, Other | 516 Verot School Rd Ste A, Lafayette, LA 70508-5026 | 2019-02-08 |
| 1073991493 | Alexandra Lee Mckowen | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2015-05-18 |
| 1174043525 | Dyamic Neuromonitoring, LLC | Specialist/Technologist, Other | 208 W Gloria Switch Rd, Lafayette, LA 70507-3409 | 2017-06-26 |
| 1912433970 | Steven Schneider | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2017-05-11 |
| 1881120103 | Bryan Gottshall | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2017-05-05 |
| 1376077883 | Kyler Blaine Folse | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2017-04-12 |
| 1851847479 | Kyle Lambeth | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-09-01 |
| 1356796221 | Yoyanda Carroll | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-04-28 |
| 1811351828 | Jennifer Schwartz | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-04-06 |
| 1689035156 | Harrison Adams | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-03-11 |
| Find all providers in LAFAYETTE | ||||
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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.