MEDICARE: NEURO-DIAGNOSTIC SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	L3561	TX

General Provider Information

NPI Number	:	1316964075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO-DIAGNOSTIC SOLUTIONS

Provider Business Mailing Address
First Line	:	801 GREENVIEW DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-2439
Country	:	US
Telephone Number	:	973-367-6937
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 GREENVIEW DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75050-2439
Country	:	US
Telephone Number	:	973-367-6937
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABRAHAM ARMANI
Credential	:	MD
Telephone Number	:	972-367-6937

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/08/2012

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