Organization Active NPI

Neurodyme Diagnostics

  • Electroneurodiagnostic Specialist/Technologist
  • Houston, TX
National Provider Identifier
1629152640
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
NEURODYME DIAGNOSTICS
Doing business as
Neurodyme Diagnostics
Practice address
3422 Garden Shadow LN
Houston, TX 77018-6346
Phone
(832) 876-7084
NPI assigned
Oct 25, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Mr. Jeffrey Hayden Rose, MA
Title
Owner
Phone
(832) 876-7084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU Primary

Addresses

Primary practice location

3422 Garden Shadow LN
Houston, TX 77018-6346

Mailing address

3422 Garden Shadow LN
Houston, TX 77018-6346
Phone (832) 876-7084

Other names 1

  • NEURODYME DIAGNOSTICS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1629152640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3422 GARDEN SHADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186346",
            "telephone_number": "832-876-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3422 GARDEN SHADOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770186346",
            "telephone_number": "832-876-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODYME DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "HAYDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-876-7084",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEURODYME DIAGNOSTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.