TLC Neurological Services, LLC

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

License

4757 Issued in AZ

Legal business name

TLC NEUROLOGICAL SERVICES, LLC

Practice address

2925 E Riggs Rd
Ste. 8127
Chandler, AZ 85249-3600

Phone

(866) 639-3919

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Tricia Smith, R. EEG/EP T.

Title

Owner, Neurodiagnostic Tech

Phone

(866) 639-3919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1730423948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD",
            "address_2": "STE. 8127",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493600",
            "telephone_number": "866-639-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD",
            "address_2": "STE. 8127",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493600",
            "telephone_number": "866-639-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC NEUROLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER, NEURODIAGNOSTIC TECH",
        "authorized_official_telephone_number": "866-639-3919",
        "authorized_official_credential": "R. EEG/EP T."
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "AZ",
            "license": "4757",
            "primary": true
        }
    ],
    "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 12, 2012; 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.