Neurovative Diagnostics LLC

Physiological Laboratory · Dallas, TX

Organization Active NPI

NPI number 1114380102

Practice location

16800 Dallas Pkwy Ste 175
Dallas, TX 75248-1941
Phone
(972) 361-8040

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NPI record

NPI
1114380102
Entity type
Organization (Type 2)
Enumeration date
March 29, 2016
Last updated
January 25, 2023
Certified
January 25, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physiological Laboratory Primary 293D00000X — —

Authorized official

Name
Anthony Darrel Wax
Title
CEO
Phone
(214) 802-1078

About Neurovative Diagnostics LLC

Neurovative Diagnostics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physiological Laboratory (code 293D00000X). The practice location is 16800 Dallas Pkwy Ste 175, Dallas, TX 75248-1941. The NPI number 1114380102 was assigned on March 29, 2016 and the record was last updated on January 25, 2023.

The authorized official for this organization is Anthony Darrel Wax, CEO.

Frequently asked questions

What is the NPI number of Neurovative Diagnostics LLC?

The NPI number is 1114380102.

What is the phone number of Neurovative Diagnostics LLC?

The phone number listed for the practice location is (972) 361-8040.

Where is Neurovative Diagnostics LLC located?

16800 Dallas Pkwy Ste 175, Dallas, TX 75248-1941.

What is the taxonomy code for Neurovative Diagnostics LLC?

The primary taxonomy code is 293D00000X – Physiological Laboratory.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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