National Provider Identifier Database

BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY INC
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

BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC
1 RANDALL SQ
SUITE 409
PROVIDENCE, RI02904-2709
Phone: 401-274-5150
Fax: 401-274-2130
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC

NPI Number 1720136419
Legal business name
LBN
BRAIN MAPPING AND COMPUTERIZED NEUROPHSIOLOGY LABORATORY, INC
Authorized official JEFFREY WISHIK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/08/2007
Last updated 10/03/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • RI Medicaid: 9000330

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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