Organization Active NPI

Neurologia Diagnostics LLC

  • Clinical Medical Laboratory
  • Saint Paul, MN
National Provider Identifier
1013271840
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEUROLOGIA DIAGNOSTICS LLC
Practice address
2575 University Ave W
Suite 100
Saint Paul, MN 55114-1073
Phone
(651) 641-1770
Fax
(651) 641-1773
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Aydin Moradian
Title
Chief Executive Officer
Phone
(651) 641-2836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2575 University Ave W
Suite 100
Saint Paul, MN 55114-1073

Mailing address

2575 University Ave W
Suite 100
Saint Paul, MN 55114-1073
Phone (651) 641-1770

National Provider Directory

National Provider Directory

Locations

2575 University Ave W
Ste 100
Saint Paul, MN 55114
Phone (651) 641-1770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1013271840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 UNIVERSITY AVE W",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141073",
            "telephone_number": "651-641-1770",
            "fax_number": "651-641-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 UNIVERSITY AVE W",
            "address_2": "SUITE 100",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141073",
            "telephone_number": "651-641-1770",
            "fax_number": "651-641-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIA DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "MORADIAN",
        "authorized_official_first_name": "AYDIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "651-641-2836",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.