DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES – NPI #1629468541
Specialist/Technologist, Other

DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES is a technologist located in NORMAL, IL. NPPES has assigned the NPI number 1629468541 to DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES on January 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

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 DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES below.

NPI Profile for
DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES

NPI Number
1629468541
Enumeration Date

(more than 11 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
DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES
Primary location
1604 VISA DR # 1
NORMAL, IL 61761-2195
Phone: (309) 454-1100 Fax:
Mailing address
Same as primary location
Organization Subpart
Yes - DEFINITIVE NEURODIAGNOSTICS, LLC PROFESSIONAL SERVICES is subpart of another organization.
Authorized Official
JOHN ATWATER
OWNER
Phone: (309) 454-1100
Updated
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)		 IL 036100906

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.