Am Neuro LLC
Organization Active NPI Electroneurodiagnostic Specialist/Technologist · Youngsville, LA
NPI 1750002382 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1750002382
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- Legal business name
- AM NEURO LLC
- Practice address
- 111 Longpointe Rd
Youngsville, LA 70592-5637 - Phone
- (337) 319-5234
- NPI assigned
- Sep 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Angel Miller
- Title
- Owner
- Phone
- (337) 319-5234
Practitioners 2
-
Eli S Neiman, D.O.
-
Angel Miller, CNIM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230301001244 | LA | Part B Supplier - Clinic/Group Practice | 1355714924 |
Receives reassigned benefits from 1 practitioner Practice locations: Youngsville, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist |
246ZE0600X | Yes |
Addresses
Primary practice location
111 Longpointe Rd
Youngsville, LA 70592-5637
Mailing address
PO Box 165
Youngsville, LA 70592-0165
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All providers in Youngsville, LA · Electroneurodiagnostic Specialist/Technologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.