BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC – NPI #1720136419
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.

BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC is a physiological laboratory located in PROVIDENCE, RI. NPPES has assigned the NPI number 1720136419 to BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC on January 08, 2007. 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 14 years ago on Oct 03, 2012. 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 BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC below.

NPI Profile for
BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC

NPI Number
1720136419
Enumeration Date

(more than 19 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
BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC
Primary location
1 RANDALL SQ
SUITE 409
PROVIDENCE, RI 02904-2709
Phone: (401) 274-5150 Fax: (401) 274-2130
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JEFFREY WISHIK
PRESIDENT
Phone: (401) 274-5150
Updated
Identifiers

Identifiers for BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDRI9000330
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.