Organization

Massachusetts Neurodiagnostics, Llc

Physiological Laboratory in Burlington, MA(View on Map)

Legal Business Name

Massachusetts Neurodiagnostics, Llc

NPI Number

1063956555

NPI Type

Organization

Enumeration Date

12/19/2016

Specialties

(Taxonomies)

Code

293D00000X
261Q00000X
261QS1200X

Primary Taxonomy

Yes
No
No

Contact
Information

Purpose

Mailing
Location

Address

4545 FULLER DR
1500 DISTRICT AVE # 2053

City

Irving
Burlington

State

TX
MA

Postal Code

75038-6530
01803-5069

Country

US
US

Telephone Number

(469) 995-8416
(617) 648-9854

Authorized Official

Name

Charles Alvarez

Title or Position

CEO

Telephone Number

(469) 995-8416

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/12/2020

Provider Address