National Provider Identifier Database

MEDGEN NEURO
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

MEDGEN NEURO
824 N CREEK DR
CONWAY, AR72032-4711
Phone: 999-999-9999
Fax:
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for MEDGEN NEURO

NPI Number 1487313557
Legal business name
LBN
MEDGEN NEURO
Authorized official DEANNE GOSS - (MANAGING MEMBER)
Entity Organization
Organization subpart No
Enumeration date 12/15/2021
Last updated 01/17/2022 - About 4 years 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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