Acadian Iom, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

ACADIAN IOM, LLC

Practice address

201 Saint Charles Ave Ste 114
#225
New Orleans, LA 70170-0114

Phone

(504) 517-1400

NPI assigned

Apr 5, 2017

Last updated

Nov 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Delong

Title

Npi Representative

Phone

(210) 598-2800

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1578096715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT CHARLES AVE STE 114",
            "address_2": "#225",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701700114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT CHARLES AVE STE 114",
            "address_2": "#225",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701700114",
            "telephone_number": "504-517-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "NPI REPRESENTATIVE",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.