Tennessee Electro Neuro Diagnostics

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

380 Issued in TN

Legal business name

TENNESSEE ELECTRO NEURO DIAGNOSTICS

Practice address

3224 Newington CV
Antioch, TN 37013-2537

Phone

(615) 397-2456

Fax

(615) 885-3691

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven A Ross, CNIM

Title

Owner/Clinical Manager

Phone

(615) 397-2456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083650659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293296",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372293296",
            "telephone_number": "615-397-2456",
            "fax_number": "615-885-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 NEWINGTON CV",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132537",
            "telephone_number": "615-397-2456",
            "fax_number": "615-885-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE ELECTRO NEURO DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CLINICAL MANAGER",
        "authorized_official_telephone_number": "615-397-2456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TN",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.