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