| Massachusetts Neurodiagnostics, Llc | |
|
1500 District Ave # 2053 Burlington MA 01803-5069 | |
| (617) 648-9854 | |
| (866) 279-4704 |
| Full Name | Massachusetts Neurodiagnostics, Llc |
|---|---|
| Speciality | Physiological Laboratory |
| Location | 1500 District Ave # 2053, Burlington, Massachusetts |
| Authorized Official Name and Position | Charles Alvarez (CEO) |
| Authorized Official Contact | 4699958416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Massachusetts Neurodiagnostics, Llc 4545 Fuller Dr Suite 100 Irving TX 75038-6530 Ph: (469) 995-8416 | Massachusetts Neurodiagnostics, Llc 1500 District Ave # 2053 Burlington MA 01803-5069 Ph: (617) 648-9854 |
| NPI Number | 1063956555 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 5890052088 |
|---|---|
| Medicare Enrollment ID | O20171124000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063956555 | NPI | - | NPPES |
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