Active NPI
Noble Neurodiagnostic Services, LLC
- Electroneurodiagnostic Specialist/Technologist
- Lafayette, LA
National Provider Identifier
1861976169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- NOBLE NEURODIAGNOSTIC SERVICES, LLC
- Practice address
- 205 Calcasieu Xing
Lafayette, LA 70506-7873 - Phone
- (337) 366-7535
- Fax
- (713) 893-6967
- NPI assigned
- Sep 21, 2018
- 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
- Mr. Mark Frangullie, CNIM
- Title
- Chief Operating Officer
- Phone
- (713) 865-0730
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
205 Calcasieu Xing
Lafayette, LA 70506-7873
Mailing address
205 Calcasieu Xing
Lafayette, LA 70506-7873
Phone (337) 366-7535
Other names 1
- Noble Neurodiagnostic Services, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537488000000",
"number": "1861976169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CALCASIEU XING",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705067873",
"telephone_number": "337-366-7535",
"fax_number": "713-893-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 CALCASIEU XING",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705067873",
"telephone_number": "337-366-7535",
"fax_number": "713-893-6967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOBLE NEURODIAGNOSTIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-21",
"last_updated": "2018-09-21",
"status": "A",
"authorized_official_last_name": "FRANGULLIE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "713-865-0730",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CNIM"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Noble Neurodiagnostic Services, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.