MT NEURODIAGNOSTIXS MANAGEMENT, LLC (NPI# 1871808089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871808089 |
| Entity Type | Organization |
| Organization Name | MT NEURODIAGNOSTIXS MANAGEMENT, LLC |
| Practice Address |
1207 Running Bear Trl Crosby TX 77532-3618 |
| Mailing Address |
Po Box 1651 Crosby TX 77532-1651 |
| Practice Telephone | 2814627684 |
| Practice Fax Number | 8888325078 |
| Mailing Telephone | 2814627684 |
| Mailing Fax Number | 8888325078 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | TRACY CLEARY (VICE PRESIDENT) |
| Authorized Official Telephone | 2814627684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Street Address |
1207 RUNNING BEAR TRL |
| City | CROSBY |
| State | TX |
| Zip Code | 77532-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144653429 | Alpha Neuro Tech, LLC | Specialist/Technologist, Other | 1207 Running Bear Trl, Crosby, TX 77532-3618 | 2013-08-09 |
| 1003257122 | Tracy Cleary | Specialist/Technologist, Other | 1207 Running Bear Trl, Crosby, TX 77532-3618 | 2013-07-17 |
| 1184930893 | Ndx Technologies, LLC | Specialist/Technologist, Other | 1207 Running Bear Trl, Crosby, TX 77532-3618 | 2010-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886013 | Absolute Wellness, Pllc | Family Medicine | 14626 Crosby-lynchburg Rd, Unit C, Crosby, TX 77532 | 2020-06-22 |
| 1801367875 | Ariane Monique Coler | Licensed Vocational Nurse | 5925 Fm 2100 Rd, Apartment 1107, Crosby, TX 77532 | 2018-12-17 |
| 1124201520 | Crosby Chiropractic Center PC Inc | Chiropractor | 5211 Fm 2100, Crosby, TX 77532 | 2007-12-10 |
| 1871713099 | Erin Renee Wallace | Speech-Language Pathologist | 16407 Azimuth Drive, Crosby, TX 77532 | 2007-04-27 |
| 1922143882 | James B Wallace Jr. | Dentist | 6618 Fm 2100, Crosby, TX 77532 | 2007-02-20 |
| 1992848733 | Jennifer Leigh Garner | Occupational Therapist | 805 Runneburg, Crosby, TX 77532 | 2007-02-14 |
| 1154485845 | Robert E. Stevens, Dds | Dentist | 5909 Fm2100, Crosby, TX 77532 | 2006-12-20 |
| 1659466118 | Darrell Alton Griffin | Specialist | 2171 Silver Moon Trail, Crosby, TX 77532 | 2006-10-03 |
| 1073625786 | Robert Brian Rosenbaum | Chiropractor | 5211 F.m. 2100, Crosby, TX 77532 | 2006-08-31 |
| 1164433447 | Robert E Stevens Sr. | Dentist | 5909 Fm 2100, Crosby, TX 77532 | 2006-08-11 |
| Find all providers in zip 77532 | ||||
| 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 |
|---|---|---|---|---|
| 1730393588 | Surgical Monitoring Consulting | Physiological Laboratory | 18302 Noyce Rd, Crosby, TX 77532-7807 | 2007-05-10 |
| 1932313780 | Synaptic Monitoring | Physiological Laboratory | 18302 Noyce Rd, Crosby, TX 77532-7807 | 2007-05-10 |
| 1952515702 | R & R Practice Management | Physiological Laboratory | 18302 Noyce Rd, Crosby, TX 77532-7807 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
| 1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
| 1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.