BRAINWAVE NEURODIAGNOSTICS LLC – NPI #1306486394
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.

BRAINWAVE NEURODIAGNOSTICS LLC is a physiological laboratory located in MCKINNEY, TX. NPPES has assigned the NPI number 1306486394 to BRAINWAVE NEURODIAGNOSTICS LLC on January 08, 2020. 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.

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 BRAINWAVE NEURODIAGNOSTICS LLC below.

NPI Profile for
BRAINWAVE NEURODIAGNOSTICS LLC

NPI Number
1306486394
Enumeration Date

(more than 6 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
BRAINWAVE NEURODIAGNOSTICS LLC
Primary location
4541 MEDICAL CENTER DR
MCKINNEY, TX 75069-1651
Phone: (214) 686-9393 Fax:
Mailing address
304 S COPPELL RD
COPPELL, TX 75019-2417
Phone: (214) 686-9393 Fax:
Organization Subpart
No
Authorized Official
NIBU MALAICKAL
OWNER
Phone: (214) 686-9393
Updated
Certification Date
Jan 08, 2020

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.