Signal Neuro LLC
Organization Active NPI Specialist · Maurice, LA
NPI 1306447693 · NPPES record last updated Apr 10, 2024
Key facts
- NPI
- 1306447693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- SIGNAL NEURO LLC
- Practice address
- 114 Margaret Lucia Dr
Maurice, LA 70555-3356 - Phone
- (337) 223-2253
- NPI assigned
- Nov 4, 2020
- Organization subpart
- No
Authorized official
- Name
- Jordan Clavier
- Title
- Owner/Manager
- Phone
- (337) 223-2253
Practitioners 3
-
Elise Claire Lofton, M.D.
-
Eli S Neiman, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210122000266 | LA | Part B Supplier - Clinic/Group Practice | 9335553957 |
Receives reassigned benefits from 2 practitioners Practice locations: Maurice, LA |
National Provider Directory
Locations
209 John St
Unit 201
Maurice, LA 70555
Phone (337) 223-2253
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
114 Margaret Lucia Dr
Maurice, LA 70555-3356
Mailing address
209 John St Unit 201
Maurice, LA 70555-5509
Other names
- Signal Neurophysiological Monitoring LLC
Other providers in Maurice, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.