Mt Neurodiagnostixs Management, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MT NEURODIAGNOSTIXS MANAGEMENT, LLC

Practice address

1207 Running Bear TRL
Crosby, TX 77532-3618

Phone

(281) 462-7684

Fax

(888) 832-5078

NPI assigned

Aug 11, 2010

Organization subpart

No

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

Authorized official

Name

Tracy Cleary

Title

Vice President

Phone

(281) 462-7684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1871808089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1651",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321651",
            "telephone_number": "281-462-7684",
            "fax_number": "888-832-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 RUNNING BEAR TRL",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775323618",
            "telephone_number": "281-462-7684",
            "fax_number": "888-832-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT NEURODIAGNOSTIXS MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "281-462-7684"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Diagnostic Solutions, LLC
• Mitchel S Welch
• Jaquita Larene Montgomery, PHARMD
• Moore Custard LLC (Moore Speech)
• Karran Michelle Morris
• Irene Alejandra Muro, RN
• Larissa Narcisse
• NDX Technologies, LLC
• Nec Crosby Emergency Center LP
• Neuro Management Solutions, LLC

• Physiological Laboratory in Crosby, TX
• Providers in Crosby, TX by specialty
• Physiological Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.