Neurologic Diagnostic Labs

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NEUROLOGIC DIAGNOSTIC LABS

Practice address

13652 Breton Ridge Dr Ste B
Suite B
Houston, TX 77070-6088

Phone

(972) 859-0378

NPI assigned

Apr 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Edward O CastilloNPI 1568775393

Title

President

Phone

(972) 859-0378

Specialties & licenses 1

Addresses

Tax ID family

Neurologic Diagnostic Labs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Neurologic Diagnostic Labs

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
  • NPI 1356655609
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward O Castillo

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
  • NPI 1568775393
  NPD (past) Authorized official

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

{
    "created_epoch": "1333843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333843200000",
    "number": "1861758450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 UNIVERSITY DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813921",
            "telephone_number": "972-859-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13652 BRETON RIDGE DR STE B",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706088",
            "telephone_number": "972-859-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC DIAGNOSTIC LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-08",
        "last_updated": "2012-04-08",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-859-0378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurodevelopmental Therapy Services
• Neurodiagnostic Assoc of Houston
• Neurodyme Diagnostics
• Neurointegrity Diagnostics, P.a.
• Neurologic Ass. of Texas, PLLC
• Neurological Associates of Houston, P.a.
• Neurological Diagnostic Services, PLLC
• Neurology & Neurodiagnostic Clinic of Houston, PLLC
• Neurology and Epilepsy Consultants PLLC
• Neurology and Sleep Specialists, PLLC

• Electroneurodiagnostic Specialist/Technologist in Houston, TX
• Providers in Houston, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.