Miguel Lara

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

3300 Northeast Expy NE BLDG 7
Atlanta, GA 30341-3938

Phone

(404) 695-0369

NPI assigned

May 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurolink LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Atlanta, GA
  • NPI 1053759431
  NPD (past)

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1073923884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NORTHEAST EXPY NE BLDG 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413938",
            "telephone_number": "770-235-5698",
            "fax_number": "972-996-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NORTHEAST EXPY NE BLDG 7",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303413938",
            "telephone_number": "404-695-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Stephan Laplante, M.D.
• Amy Lapointe, PA-C
• Justin William Laporte, PHARM.D.
• Kelci Laporte, CPNP
• Lara B Watkins, MD, PC
• David Larame
• Robert Large
• Joanna Marie Lariccia, MD
• Oluwagbemiga Olamide Larinde, MD
• Kathryn C Larisey, M.S.

• Electroneurodiagnostic Specialist/Technologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Electroneurodiagnostic Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.