Ambulatory Neurological Services, LLC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Legal business name

AMBULATORY NEUROLOGICAL SERVICES, LLC

Practice address

7300 Hudson Blvd N
Suite 220
Oakdale, MN 55128-7141

Phone

(651) 330-1136

Fax

(866) 858-7255

NPI assigned

Sep 21, 2009

Last updated

Sep 21, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

AMBULATORY NEUROLOGICAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Miguel L Iribarren

Title

President

Phone

(847) 340-9726

Specialties & licenses 1

Addresses

Part of

Ambualtory Neurological LLC

Locations

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1275867491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 ELMWOOD AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911557",
            "telephone_number": "847-340-9726",
            "fax_number": "866-858-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HUDSON BLVD N",
            "address_2": "SUITE 220",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551287141",
            "telephone_number": "651-330-1136",
            "fax_number": "866-858-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY NEUROLOGICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBULATORY NEUROLOGICAL SERVICES, LLC",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "IRIBARREN",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-340-9726"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Other Specialist/Technologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.