Organization Active NPI

Neurodiagnostic Support Service, Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Weston, FL
National Provider Identifier
1306658000
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.