Physicians Choice Neuro Diagnostics LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

PHYSICIANS CHOICE NEURO DIAGNOSTICS LLC

Practice address

2813 E Camelback Rd Ste 430
Phoenix, AZ 85016-4337

Phone

(602) 595-7795

Fax

(600) 259-5779

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Vicki Belt

Title

Manager

Phone

(602) 595-7795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1144584814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 E CAMELBACK RD STE 430",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164337",
            "telephone_number": "602-595-7795",
            "fax_number": "602-595-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 E CAMELBACK RD STE 430",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164337",
            "telephone_number": "602-595-7795",
            "fax_number": "600-259-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE NEURO DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "BELT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-595-7795"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "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 Mar 4, 2013; 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.