Healthcare Provider Details

I. General information

NPI: 1003517806
Provider Name (Legal Business Name): GLOBAL NEURODIAGNOSTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2023
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 STEVE ST
LAFAYETTE LA
70503-6047
US

IV. Provider business mailing address

101 STEVE ST
LAFAYETTE LA
70503-6047
US

V. Phone/Fax

Practice location:
  • Phone: 337-781-6959
  • Fax:
Mailing address:
  • Phone: 337-781-6959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KYLER FOLSE
Title or Position: CEO
Credential:
Phone: 337-366-7535