Active NPI
Neurodyme Diagnostics
- Electroneurodiagnostic Specialist/Technologist
- Houston, TX
National Provider Identifier
1629152640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- 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, 2008
- 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 Hayden Rose, MA
- Title
- Owner
- Phone
- (832) 876-7084
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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
- Neurocare of the South, PLLC
- Neurodevelopment Center of Greater Houston
- Neurodevelopmental Therapy Services
- Neurodevelopmental Therapy Services
- Neurodiagnostic Assoc of Houston (Summit Family Practice)
- Neurointegrity Diagnostics, P.a.
- Neurologic Ass. of Texas, PLLC
- Neurologic Diagnostic Labs
- Neurological Associates of Houston, P.a.
- Neurological Diagnostic Services, PLLC
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.