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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) | |
Audiologist |
231H00000X | 64 | Audiologist | |
Clinical Neurophysiology |
2084N0600X | 86 | Physician/Neuropsychiatry | |
Electroneurodiagnostic |
246ZE0600X | |||
Vascular Sonography Radiologic Technologist |
2471V0105X |
| NPI Number | 1427101658 |
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| LBN Legal business name | NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC | ||||
| Authorized official | AURELIO MUZAURIETA - (PRESIDENT/TECHNICAL DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/19/2007 | ||||
| Last updated | 09/26/2008 - About 18 years ago | ||||
| Identifiers |
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| BRENDEN LINDSEY, RADIOLOGYADMINISTRAT 42 DOCTORS VILLAGE DR SAINT JOHNS, FL |
| DAVID E VINCENT, M.D. 6467 GREENLAND RD JACKSONVILLE, FL |
| RAJ D SHETH, MD 807 CHILDREN'S WAY JACKSONVILLE, FL |
| ROBERT E GROBLE MD PA 1510 BARRS STREET JACKSONVILLE, FL |
| MARK K EMAS, MD 4085 UNIVERSITY BLVD SOUTH JACKSONVILLE, FL |
| JASON H SEYMOUR, MD VA OUTPATIENT CLINIC JACKSONVILLE, FL |
| BABUR H BHATTI, MD 6300 BEACH BLVD JACKSONVILLE, FL |
| MARCI M MANNA, MD 2080 CHILD STREET APO, AA |
| EVONNE M LONG, AUD 1010 N DAVIS ST STE 101 JACKSONVILLE, FL |
| RYAN K CROOKS, MD 580W 8TH ST JACKSONVILLE, FL |
NATIONAL NEURODIAGNOSTIC TECHNOLOGIES INC