WEST VIRGINIA NEURODIAGNOSTICS, LLC (NPI# 1942719778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942719778 |
| Entity Type | Organization |
| Organization Name | WEST VIRGINIA NEURODIAGNOSTICS, LLC |
| Practice Address |
1399 Stewartstown Rd Ste 240 Morgantown WV 26505-3487 |
| Mailing Address |
4545 Fuller Dr Ste 100 Irving TX 75038-6509 |
| Practice Telephone | 3048410208 |
| Practice Fax Number | 8662794704 |
| Mailing Telephone | 4699958416 |
| Mailing Fax Number | 4696803809 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | JUSTIN LUKE MAGNUSON (CEO) |
| Authorized Official Telephone | 4699958416 |
| Is Organization Subpart | Y |
| Parent Organization Name | ALLIANCE FAMILY OF COMPANIES, LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAXONOMY - CLINIC/CENTER | 261Q00000X | 01 |
| Street Address |
1399 STEWARTSTOWN RD STE 240 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659489631 | Monongalia County General Hospital Company | Clinic/Center | 1200 Jd Anderson Drive, Morgantown, WV 26505 | 2006-08-29 |
| 1205386570 | Verve Chiropractic, Pllc | Clinic/Center | 1262 Pineview Dr, Morgantown, WV 26505-2731 | 2016-10-10 |
| 1952729386 | Ghayth Hammad Md | Clinic/Center | 234 Porter St, Morgantown, KY 42261-8629 | 2014-04-02 |
| 1841441078 | Optical 101 Pllc | Clinic/Center | 499 High St, Morgantown, WV 26505-5516 | 2008-10-07 |
| 1760552715 | Deborah Wilson | Clinic/Center | 1 Medical Center Drive, Morgantown, WV 26506 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029401 | Christopher Martin | Clinic/Center | 143 Trump Ave, Oak Hill, WV 25901-2424 | 2020-10-08 |
| 1043817471 | Walls Wellness Center, LLC | Clinic/Center | 27 Spice Creek Road, Verner, WV 25650-2565 | 2020-10-08 |
| 1457985715 | Pocahontas Memorial Hospital | Clinic/Center | 10 Snowshoe Dr, Snowshoe, WV 26209-1700 | 2020-02-26 |
| 1033694732 | Usimc of West Virginia Medical Corporation | Clinic/Center | 2203 5th Street Rd, Huntington, WV 25701-9311 | 2018-09-27 |
| 1134616626 | Joan E Strawson, LLC | Clinic/Center | 1298 W Washington St, Harpers Ferry, WV 25425-6300 | 2018-04-19 |
| 1952815268 | Rainelle Medical Center, Inc. | Clinic/Center | Po Box 89, Hico, WV 25854-0089 | 2017-11-22 |
| 1386160497 | Stats and Strides Therapeutic Equine Center | Clinic/Center | 519 New Quarter Rd, Meadowbrook, WV 26404 | 2017-08-21 |
| 1013456094 | New Beginnings Drug Treatment Center, Inc. | Clinic/Center | 4855 Maccorkle Ave Sw, South Charleston, WV 25309-1331 | 2017-02-23 |
| 1629520598 | New River Health Association, Inc | Clinic/Center | 269 Martin Lane, Mount Hope, WV 25880 | 2016-10-26 |
| 1528417946 | Rainelle Medical Center, Inc. | Clinic/Center | 390 Industrial Park, Maxwelton, WV 24957 | 2016-06-07 |
| Find all providers with the same taxonomy | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on WEST VIRGINIA 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.