Allied Neurodiagnostics, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

ALLIED NEURODIAGNOSTICS, LLC

Practice address

3691 Kennesaw S Industrial Dr NW
Suite 103
Kennesaw, GA 30144-6513

Phone

(770) 792-9146

Fax

(770) 792-9866

NPI assigned

Mar 1, 2010

Last updated

Jan 7, 2014By 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. Gregory NiznikNPI 1003555830

Title

Ceo

Phone

(404) 295-0052

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gregory Edward Niznik

  • Technician/Technologist
  • Kennesaw, GA
  • NPI 1003555830
  Authorized official Same address or phone

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1245553577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 KENNESAW S INDUSTRIAL DR NW",
            "address_2": "SUITE 103",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446513",
            "telephone_number": "770-792-9146",
            "fax_number": "770-792-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3691 KENNESAW S INDUSTRIAL DR NW",
            "address_2": "SUITE 103",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446513",
            "telephone_number": "770-792-9146",
            "fax_number": "770-792-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "NIZNIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-295-0052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Kennesaw, GA
• Providers in Kennesaw, 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 Jan 7, 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.