Prime Neurodiagnostics, LLC

Primary specialty

BiostatisticianTaxonomy code 246ZB0600X

Legal business name

PRIME NEURODIAGNOSTICS, LLC

Practice address

801 Ruggs Bluff Rd
Downsville, LA 71234-3717

Phone

(318) 237-4073

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By 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

Ms. Katrina Krom

Title

Operations Manager

Phone

(404) 428-7041

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1689046880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "DOWNSVILLE",
            "state": "LA",
            "postal_code": "712340249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 RUGGS BLUFF RD",
            "city": "DOWNSVILLE",
            "state": "LA",
            "postal_code": "712343717",
            "telephone_number": "318-237-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "KROM",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "404-428-7041",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246ZB0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biostatistician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Applewhite
• Natalie Danielle Bullock, LPC
• Core Agency Group
• Myriah Garaudy, M.A.
• Morehouse Community Medical Centers, Inc. (CommuniHealth Services - Downsville Clinic)
• Jessica Buck Smith, FNPC
• Shelby Deason Smith, LPC

• Other Specialist/Technologist in Downsville, LA
• Providers in Downsville, LA by specialty
• Other Specialist/Technologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.