Organization Active NPI

Neuro Analysis Diagnostics, LLC

  • Physiological Laboratory
  • Sugar Land, TX
National Provider Identifier
1780818740
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEURO ANALYSIS DIAGNOSTICS, LLC
Practice address
20403 University Blvd
Suite #300
Sugar Land, TX 77478-3558
Phone
(281) 302-5983
Fax
(832) 365-6065
NPI assigned
May 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Mr. Tim C Aldridge, RRT
Title
President
Phone
(281) 302-5983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

20403 University Blvd
Suite #300
Sugar Land, TX 77478-3558

Mailing address

20403 University Blvd
Suite #300
Sugar Land, TX 77478-3558
Phone (281) 302-5983

Other identifiers 1

IdentifierTypeStateIssuer
217530901MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1780818740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLVD",
            "address_2": "SUITE #300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783558",
            "telephone_number": "281-302-5983",
            "fax_number": "832-365-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLVD",
            "address_2": "SUITE #300",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783558",
            "telephone_number": "281-302-5983",
            "fax_number": "832-365-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO ANALYSIS DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-302-5983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217530901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.