National Provider Identifier Database

MASSACHUSETTS NEURODIAGNOSTICS LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

MASSACHUSETTS NEURODIAGNOSTICS, LLC
99 ROSEWOOD DR., S-265
DANVERS, MA01923
Phone: 617-648-9854
Fax: 866-279-4704
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Clinic/Center 261Q00000X
Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for MASSACHUSETTS NEURODIAGNOSTICS, LLC

NPI Number 1063956555
Legal business name
LBN
MASSACHUSETTS NEURODIAGNOSTICS, LLC
Authorized official CHARLES ALVAREZ - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 12/19/2016
Last updated 04/29/2026 - About a month ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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