Active NPI
Neurodiagnostic Support Service, Inc
- Electroneurodiagnostic Specialist/Technologist
- Weston, FL
National Provider Identifier
1306658000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NEURODIAGNOSTIC SUPPORT SERVICE, INC
- Practice address
- 2741 Executive Park Dr Ste 4
Weston, FL 33331-3641 - Phone
- (407) 468-3137
- NPI assigned
- Jan 21, 2025
- Last updated
- Jan 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd J Lang
- Title
- President
- Phone
- (407) 468-3137
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NU | Primary |
Addresses
Primary practice location
2741 Executive Park Dr Ste 4
Weston, FL 33331-3641
Mailing address
17520 Dartown Rd Unit 467
Westfield, IN 46074-9836
Phone (407) 468-3137
National Provider Directory
National Provider DirectoryLocations
17520 Dartown Rd
Unit 467
Westfield, IN 46074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1306658000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17520 DARTOWN RD UNIT 467",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460749836",
"telephone_number": "407-468-3137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 EXECUTIVE PARK DR STE 4",
"city": "WESTON",
"state": "FL",
"postal_code": "333313641",
"telephone_number": "407-468-3137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURODIAGNOSTIC SUPPORT SERVICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "LANG",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-468-3137"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.