Active NPI
Choice Neurodiagnostics, LLC
- Electroneurodiagnostic Specialist/Technologist
- Raleigh, NC
National Provider Identifier
1407206121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- CHOICE NEURODIAGNOSTICS, LLC
- Practice address
- 176 Mine Lake CT
Ste 100
Raleigh, NC 27615-6417 - Phone
- (404) 428-7041
- NPI assigned
- Jun 14, 2016
- 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
- Mr. Jeffrey M Poree Jr., CNIM
- Title
- President
- Phone
- (404) 805-4288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
176 Mine Lake CT
Ste 100
Raleigh, NC 27615-6417
Mailing address
5825 Glenridge Dr
BLDG 3 Ste 101
Atlanta, GA 30328-5387
Phone (404) 303-5102
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1407206121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5825 GLENRIDGE DR",
"address_2": "BLDG 3 STE 101",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285387",
"telephone_number": "404-303-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 MINE LAKE CT",
"address_2": "STE 100",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156417",
"telephone_number": "404-428-7041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE NEURODIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "POREE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-805-4288",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "CNIM"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.