Organization Active NPI

Neuspine Institute, LLC

Doing business as NeuImage Diagnostics, LLC

  • Neurological Surgery Physician
  • Lutz, FL
National Provider Identifier
1023891546
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUSPINE INSTITUTE, LLC
Doing business as
NeuImage Diagnostics, LLC
Practice address
24620 State Road 54
Lutz, FL 33559-7307
Phone
(813) 333-9936
Fax
(844) 691-5928
NPI assigned
Aug 17, 2023
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUSPINE INSTITUTE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Dr. Armen Deukmedjian, MDNPI 1760670889
Title
Owner
Phone
(813) 610-5102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

24620 State Road 54
Lutz, FL 33559-7307

Mailing address

2590 Healing Way Ste 310
Wesley Chapel, FL 33543-5497
Phone (813) 333-1186

Other names 1

  • NeuImage Diagnostics, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Neuspine Institute LLC

Locations

2590 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 219-3269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1023891546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 HEALING WAY STE 310",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435497",
            "telephone_number": "813-333-1186",
            "fax_number": "844-691-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24620 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335597307",
            "telephone_number": "813-333-9936",
            "fax_number": "844-691-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUSPINE INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUSPINE INSTITUTE, LLC",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "DEUKMEDJIAN",
        "authorized_official_first_name": "ARMEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-610-5102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuImage Diagnostics, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.