Organization Active NPI

Neurowave Diagnostics, LLC

  • Physiological Laboratory
  • Yakima, WA
National Provider Identifier
1508683616
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEUROWAVE DIAGNOSTICS, LLC
Practice address
2807 W Washington Ave Ste 135
Yakima, WA 98903-1367
Phone
(509) 823-8266
NPI assigned
Sep 21, 2024
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Amy Huffines
Title
Owner
Phone
(509) 388-1884

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X NU
Physiological Laboratory 293D00000X NU Primary

Addresses

Primary practice location

2807 W Washington Ave Ste 135
Yakima, WA 98903-1367

Mailing address

2807 W Washington Ave Ste 135 Box 1
Yakima, WA 98903-1367
Phone (509) 388-1884

National Provider Directory

National Provider Directory

Locations

2807 W Washington Ave
Ste 135
Yakima, WA 98903
Phone (509) 383-4325

NPI Registry JSON

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1508683616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 W WASHINGTON AVE STE 135 BOX 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031367",
            "telephone_number": "509-388-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 W WASHINGTON AVE STE 135",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989031367",
            "telephone_number": "509-823-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROWAVE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "HUFFINES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-388-1884"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.