Neuroconsult LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NEUROCONSULT LLC

Practice address

3329 E Bell Rd Ste A1-A5
Phoenix, AZ 85032-2756

Phone

(480) 717-2711

NPI assigned

Dec 9, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Nonso EgbunikeNPI 1083868954

Title

Lead Tech

Phone

(480) 717-2711

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Nonso Egbunike Jr., CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Phoenix, AZ
  • NPI 1083868954
  NPD Authorized official

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1174129779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 W GRANADA RD APT 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850092572",
            "telephone_number": "480-717-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 E BELL RD STE A1-A5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322756",
            "telephone_number": "480-717-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCONSULT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "EGBUNIKE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NONSO",
        "authorized_official_title_or_position": "LEAD TECH",
        "authorized_official_telephone_number": "480-717-2711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Electroneurodiagnostic Specialist/Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.