NEUROVATIVE DIAGNOSTICS LLC – NPI #1114380102
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.

Health Care Provider Taxonomy Code for Physiological Laboratory

NEUROVATIVE DIAGNOSTICS LLC is a physiological laboratory located in DALLAS, TX. NPPES has assigned the NPI number 1114380102 to NEUROVATIVE DIAGNOSTICS LLC on March 29, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 3 years ago on Jan 25, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEUROVATIVE DIAGNOSTICS LLC below.

NPI Profile for
NEUROVATIVE DIAGNOSTICS LLC

NPI Number
1114380102
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NEUROVATIVE DIAGNOSTICS LLC
Primary location
16800 DALLAS PKWY STE 175
DALLAS, TX 75248-1941
Phone: (972) 361-8040 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY WAX
CEO
Phone: (214) 802-1078
Updated
Certification Date
Jan 25, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.