CORE NEURODIAGNOSTICS, LLC – NPI #1043740608
Specialist/Technologist, Other

CORE NEURODIAGNOSTICS, LLC is a technologist located in ADDISON, TX. NPPES has assigned the NPI number 1043740608 to CORE NEURODIAGNOSTICS, LLC on June 15, 2017. 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 246ZE0600X from the Health Care Provider Taxonomy code set, which is classified as Specialist/Technologist, Other, specializing in Electroneurodiagnostic

The NPI profile was previously updated about 3 years ago on May 30, 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 CORE NEURODIAGNOSTICS, LLC below.

NPI Profile for
CORE NEURODIAGNOSTICS, LLC

NPI Number
1043740608
Enumeration Date

(about 9 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
CORE NEURODIAGNOSTICS, LLC
Primary location
5080 SPECTRUM DR STE 1100E
ADDISON, TX 75001-4688
Phone: (210) 598-4277 Fax:
Mailing address
1141 N LOOP 1604 E # 105-612
SAN ANTONIO, TX 78232-1339
Phone: Fax:
Organization Subpart
No
Authorized Official
ROXANNA LAROQUE
DIRECTOR OF CLIENT EXPERIENCE
Phone: (210) 598-4277
Updated
Certification Date
May 30, 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
246ZE0600X
- Specialist/Technologist, Other / Electroneurodiagnostic (Primary)
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology

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.