Clinical Neuro DX, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

639 Issued in NY

Legal business name

CLINICAL NEURO DX, LLC

Practice address

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292

Phone

(404) 419-1319

NPI assigned

Nov 23, 2007

Last updated

Apr 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ateer Sheth, CNLM, MS

Title

Member, Clinical Neurophysiologist

Phone

(404) 419-1319

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinical Neuro Diagnostics, LLC Other name

Practitioners 2

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.

• Anthony T Dacunha, MD

  • Neurology Physician
  • Athens, GA
  • NPI 1851330591
  NPD (past)
• David Ronald Lesch, M.D.

  • Neurology Physician
  • Suwanee, GA
  • NPI 1942240932
  NPD (past)

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1205017944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2259",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240057",
            "telephone_number": "404-419-1319",
            "fax_number": "866-209-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 PEACHTREE ST NW STE 2200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031292",
            "telephone_number": "404-419-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL NEURO DX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "ATEER",
        "authorized_official_title_or_position": "MEMBER, CLINICAL NEUROPHYSIOLOGIST",
        "authorized_official_telephone_number": "404-419-1319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNLM, MS"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNLM",
            "identifier": "639",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Neuro Diagnostics, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Clinical Disgnostics Labs
• Clinical Patient Services, LLC
• Clinical Support Services,Inc
• Clinical Support Systems, LLC
• Clinicare Screening Solutions LLC
• Courtney Clinkscales, PAA

• Health Service Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.