Active NPI
Neuralogix Management, LLC
- Clinical Neurophysiology Physician
- Metairie, LA
National Provider Identifier
1780057984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- NEURALOGIX MANAGEMENT, LLC
- Practice address
- 2612 Severn Ave
Suite B
Metairie, LA 70002-5935 - Phone
- (833) 274-6988
- NPI assigned
- Nov 10, 2015
- Last updated
- May 16, 2019
- 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
- Charles G. Eckert
- Title
- President
- Phone
- (504) 539-3378
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | NU | ||
| Clinical Neurophysiology Physician | 2084N0600X | NU | Primary |
Addresses
Primary practice location
2612 Severn Ave
Suite B
Metairie, LA 70002-5935
Mailing address
2612 Severn Ave Ste B
Metairie, LA 70002-5935
Phone (833) 274-6988
National Provider Directory
National Provider DirectoryLocations
2612 Severn Ave
Ste B
Metairie, LA 70002
Phone (833) 274-6988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1780057984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2612 SEVERN AVE STE B",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025935",
"telephone_number": "833-274-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2612 SEVERN AVE",
"address_2": "SUITE B",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700025935",
"telephone_number": "833-274-6988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURALOGIX MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-10",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "ECKERT",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-539-3378"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.