CLEARWATER NEURODIAGNOSTICS LLC – NPI #1316585466
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

CLEARWATER NEURODIAGNOSTICS LLC is a physiological laboratory located in CLEARWATER, FL. NPPES has assigned the NPI number 1316585466 to CLEARWATER NEURODIAGNOSTICS LLC on December 19, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 6 years ago on Jan 16, 2020. 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 CLEARWATER NEURODIAGNOSTICS LLC below.

NPI Profile for
CLEARWATER NEURODIAGNOSTICS LLC

NPI Number
1316585466
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
CLEARWATER NEURODIAGNOSTICS LLC
Primary location
407 S AURORA AVE
CLEARWATER, FL 33765-3525
Phone: (850) 322-6794 Fax:
1 Other location(s):
2438 Dr. M.L.K. Jr St.
St. Petersburg, FL 33704
Phone: (850) 322-6794
Mailing address
690 MAIN ST UNIT 822
SAFETY HARBOR, FL 34695-3551
Phone: Fax:
Organization Subpart
No
Authorized Official
ANDREW KLEIN
PRINCIPAL
Phone: (850) 322-6794
Updated
Certification Date
Jan 16, 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)
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
617 HOLLY CT,
DUNEDIN, FL 77025-1669