Organization Active NPI

Cogent Neurodiagnostics LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Tucson, AZ
National Provider Identifier
1902103245
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
COGENT NEURODIAGNOSTICS LLC
Practice address
7655 S Gooseberry Way
Tucson, AZ 85747-5341
Phone
(520) 261-3757
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Mr. Justin M Deardorff, CNIM
Title
President
Phone
(520) 261-3757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

7655 S Gooseberry Way
Tucson, AZ 85747-5341

Mailing address

7655 S Gooseberry Way
Tucson, AZ 85747-5341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1902103245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 S GOOSEBERRY WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 S GOOSEBERRY WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857475341",
            "telephone_number": "520-261-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGENT NEURODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "DEARDORFF",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-261-3757",
        "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": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.